Jones Neil F, Friedman Andrew C, Khiabani Kayvan T
Department of Orthopedic Surgery, Division of Plastic and Reconstructive Surgery, University of California-Los Angeles, 200 UCLA Medical Plaza #140, Los Angeles, CA 90095, USA.
J Hand Surg Am. 2004 Jan;29(1):154-8. doi: 10.1016/j.jhsa.2003.08.018.
This study presents a series of organ transplant patients who developed problems that affected their upper extremities, related to the organ transplant operation itself, to the patient's underlying systemic disease, to long-term immunosuppression, or to subsequent hand injury after the organ transplant surgery.
A retrospective chart review of 40 organ transplant patients with upper extremity problems at 3 major organ transplant centers was performed.
Six general problems were identified that affected the hand and upper extremity in these transplant patients: inflammatory conditions (16), nerve compression syndromes (18), infections (6), neoplasms (6), vascular problems (4), and trauma (14). Thirty-eight patients had 72 separate hand procedures. No problems were encountered with postoperative infections, and skin and bony healing occurred uneventfully.
Organ transplant patients are prone to developing atypical infections, skin malignancies, ischemia, and various nerve compression syndromes that affect the hand. These patients with upper-extremity problems should be treated in a manner similar to any patient without prior organ transplant.
本研究介绍了一系列器官移植患者，他们出现了影响上肢的问题，这些问题与器官移植手术本身、患者潜在的全身性疾病、长期免疫抑制或器官移植手术后的后续手部损伤有关。
对3个主要器官移植中心的40例有上肢问题的器官移植患者进行了回顾性病历审查。
在这些移植患者中，确定了6个影响手部和上肢的常见问题：炎症性疾病（16例）、神经压迫综合征（18例）、感染（6例）、肿瘤（6例）、血管问题（4例）和创伤（14例）。38例患者接受了72次单独的手部手术。术后未发生感染问题，皮肤和骨愈合顺利。
器官移植患者容易发生非典型感染、皮肤恶性肿瘤、缺血以及影响手部的各种神经压迫综合征。这些有上肢问题的患者应采用与未进行过器官移植的患者相似的方式进行治疗。
