Tuncali Dogan, Yavuz Nurten, Terzioglu Ahmet, Aslan Gurcan
Ankara Education and Research Hospital, Department of Plastic Reconstructive and Aesthetic Surgery, Ankara, Turkey.
Ann Plast Surg. 2005 Aug;55(2):146-8. doi: 10.1097/01.sap.0000168884.88016.e1.
Despite the abundance of epidemiologic studies concerning hand injuries, there is no study that emphasizes the significance of the initial laceration size. The aim of this study is to investigate the incidence of tendon, nerve, and artery injuries that may result from small, penetrating lacerations of the hand and forearm. A total of 226 patients with small lacerations were included in the study. Glass (68.7%) and knife (31.3%) lacerations were the only etiological factors. One hundred thirty-four patients (59.3%) had at least 1 deep-structure injury. One hundred twenty-four patients (92.5%) had at least 1 tendon, 25 patients (18.7%) had at least 1 nerve, and 20 patients (14.9%) had at least 1 artery injury. Extensor tendons were more commonly injured (61.3%). Combination injuries were found in 20 (14.9%) patients. The most-encountered combination was the injury of all 3 structures. Small laceration injuries of the upper extremity have the potential to conceal an underlying deep injury.
尽管有大量关于手部损伤的流行病学研究，但尚无研究强调初始撕裂伤大小的重要性。本研究的目的是调查手部和前臂小的穿透性撕裂伤可能导致的肌腱、神经和动脉损伤的发生率。共有226例小撕裂伤患者纳入本研究。玻璃（68.7%）和刀（31.3%）造成的撕裂伤是仅有的病因。134例患者（59.3%）至少有1处深部结构损伤。124例患者（92.5%）至少有1处肌腱损伤，25例患者（18.7%）至少有1处神经损伤，20例患者（14.9%）至少有1处动脉损伤。伸肌腱损伤更为常见（61.3%）。20例（14.9%）患者存在复合伤。最常见的复合伤是所有3种结构均损伤。上肢小撕裂伤有可能掩盖潜在的深部损伤。
