手指再植与血管重建后的二次手术。

Secondary procedures following digital replantation and revascularisation.

作者信息

Yu J-C, Shieh S-J, Lee J-W, Hsu H-Y, Chiu H-Y

机构信息

Division of Plastic Surgery, Department of Surgery, National Cheng-Kung University Hospital, 138, Sheng-Li Road, 70428, Tainan, Taiwan, ROC.

出版信息

Br J Plast Surg. 2003 Mar;56(2):125-8. doi: 10.1016/s0007-1226(03)00033-x.

DOI:10.1016/s0007-1226(03)00033-x

PMID:12791355

Abstract

In this retrospective study, 79 digits of 55 patients received 102 secondary procedures following replantation. We divided the procedures into two groups, occurring before or after 2 months following replantation. The procedures in the early group were mainly for soft tissue coverage (92%), and those in that late group were mainly for tendon (67%) to improve function. Factors associated with higher incidence of early secondary procedures included multiple-finger injury, avulsion or degloving injury and level of injury proximal to zone III in finger replantation (p<0.05). However, younger patients and those with proximal level replantation in fingers had more late secondary procedures (p<0.05). Flexor tenolysis procedure significantly improved the digital function after replantation (p<0.05).

摘要

在这项回顾性研究中，55例患者的79个手指在再植后接受了102次二次手术。我们将这些手术分为两组，分别发生在再植后2个月之前或之后。早期组的手术主要用于软组织覆盖（92%），而晚期组的手术主要用于肌腱（67%）以改善功能。与早期二次手术发生率较高相关的因素包括多指损伤、撕脱或脱套伤以及手指再植中损伤平面位于Ⅲ区近端（p<0.05）。然而，年轻患者以及手指近端平面再植的患者有更多的晚期二次手术（p<0.05）。屈肌腱松解术显著改善了再植后手指的功能（p<0.05）。