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[小儿外科中的显微外科方法]

[Microsurgical methods in pediatric surgery].

作者信息

Zakharov N L

出版信息

Khirurgiia (Mosk). 1990 Aug(8):12-6.

PMID:1979641
Abstract

The paper deals with the results of treatment of 32 children aged from 2 to 12 years with injuries to the arteries (n = 7), tendons of the hand and fingers (n = 9), nerves of the fingers (n = 3), cryptorchidism (n = 6), tumour of a finger (n = 1), and traumatic amputation of a finger (n = 1). Drainage of a lymph vessel in the foot for lymph infusion in +suppurative conditions was carried out in 8 patients. Optic magnification, inert suture material, and microsurgical instruments were used in the operations. The anatomical and functional results were excellent and good in 30 patients. In an 8-year-old girl, the results of a restorative operation on the flexor tendons of the ring finger of the left hand were satisfactory. In a boy two and a half years of age, replantation of the index finger of the left hand proved a failure. Microsurgical methods make it possible to attain utmost precision in forming vascular anastomoses, applying sutures to the nerves of the fingers and tendons, and in other operations. Microsurgery holds much promise in pediatric surgery.

摘要

本文探讨了32名年龄在2至12岁儿童的治疗结果,这些儿童分别患有动脉损伤(n = 7)、手部和手指肌腱损伤(n = 9)、手指神经损伤(n = 3)、隐睾症(n = 6)、手指肿瘤(n = 1)以及手指外伤性截肢(n = 1)。8名患者在化脓性病症中进行了足部淋巴管引流以进行淋巴注入。手术中使用了光学放大设备、惰性缝合材料和显微外科器械。30名患者的解剖和功能结果为优或良。在一名8岁女孩中,左手无名指屈肌腱修复手术的结果令人满意。在一名两岁半的男孩中,左手食指再植手术失败。显微外科方法能够在形成血管吻合、对手指神经和肌腱进行缝合以及其他手术中达到极高的精度。显微外科在小儿外科中有很大的前景。

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