断指再植临床经验探讨
Zhejiang Clinical Medical Journal(2005)
Abstract
目的分析断指再植的近期和远期疗效。方法再植53例(67指),麻醉下彻底清创,简单的内固定,细致修复肌腱,精确吻合血管。结果其中63指成活(成活率94%),4指坏死(坏死率6%)。随访0.5~4年,用中野和玉井功能评价标准评定疗效,其中优32指、良20指、中8指、差3指,优良率82.54%。结论精湛的显微外科技术是提高断指再植成功率的关键。良好的骨折固定、肌腱吻合,尽早有效功能训练是提高疗效的关键。
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Key words
Amputated fingers Replantation Effects Survival rate
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