Arusan Suat, Bayar Batu, Gödekmerdan Ahmet, Sağlam Naim
Doğal Hayat Polikliniği, Ankara, Turkey.
Turkiye Parazitol Derg. 2013;37(2):154-6. doi: 10.5152/tpd.2013.34.
Medicinal leeches are known to inject more than 100 bioactive substances in the tissue whilst sucking blood. They are being successfully used for the treatment of diseases and symptoms, especially in plastic surgery. We report the case of a 7-year old boy, who had lost the first phalanx of the middle finger of the right hand after an accident. The detached digit was replanted in the plastic surgery clinic, and treated within a period of 15 days with medicinal leeches (Hirudo medicinalis). Soon after the initiation of the hirudotherapy, the revascularisation of the re-attached phalanx, as well as the resolving of tissue oedema and pain was observed. Turkish physicians should be aware of the advantages of hirudotherapy in plastic and reconstructive surgery, especially in cases of detached digits and flaps.
众所周知，药用蚂蟥在吸血时会向组织中注入100多种生物活性物质。它们已成功用于疾病和症状的治疗，尤其是在整形手术中。我们报告了一例7岁男孩的病例，该男孩在一次事故后失去了右手食指的第一节指骨。离断的手指在整形手术诊所进行了再植，并在15天内使用药用蚂蟥（医用水蛭）进行治疗。水蛭疗法开始后不久，观察到再植指骨的血管再生以及组织水肿和疼痛的缓解。土耳其医生应了解水蛭疗法在整形和重建手术中的优势，尤其是在离断手指和皮瓣的病例中。
