Keleş Musa Kemal, Şimşek Tekin, Polat Veysel, Yosma Engin, Demir Ahmet
Department of Plastic, Reconstructive and Aesthetic Surgery, Dışkapı Yildirim Beyazıt Training and Research Hospital, Ankara-Turkey.
Ulus Travma Acil Cerrahi Derg. 2017 Mar;23(2):117-121. doi: 10.5505/tjtes.2016.36080.
There are few studies of single forearm arterial injury repair that compare long-term results of intact and obliterated forearm arterial repair. Aim of the present study was to compare long-term results of forearm arterial repair using Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score and color Doppler ultrasound (CDUS).
Records of 166 consecutive patients with forearm arterial injury were reviewed, and 30 patients with same injury (ulnar artery, ulnar nerve, and tendon injuries at flexor zone V) were called back for CDUS and QuickDASH scoring. Patients evaluated with CDUS were divided into 2 groups according to results: patent vessels (Group 1) and obliterated vessels (Group 2), and statistical analysis was performed to compare QuickDASH scores of groups.
Difference in QuickDASH scores was statistically significant: Group 1 had lower score (24.27) than Group 2 (36.34), indicating better outcome in patients with patent vessels.
Vascular repair that achieved vessel patency led to better functional outcome with lower QuickDASH score and less cold intolerance.
关于单前臂动脉损伤修复的研究较少，这些研究比较了完整和闭塞的前臂动脉修复的长期结果。本研究的目的是使用手臂、肩部和手部快速残疾评定量表（QuickDASH）评分和彩色多普勒超声（CDUS）比较前臂动脉修复的长期结果。
回顾了166例连续的前臂动脉损伤患者的记录，并召回了30例患有相同损伤（尺动脉、尺神经和屈肌Ⅴ区肌腱损伤）的患者进行CDUS检查和QuickDASH评分。根据CDUS检查结果将接受评估的患者分为两组：血管通畅组（第1组）和血管闭塞组（第2组），并进行统计分析以比较两组的QuickDASH评分。
QuickDASH评分差异具有统计学意义：第1组（24.27）的评分低于第2组（36.34），表明血管通畅的患者预后更好。
实现血管通畅的血管修复导致更好的功能结果，QuickDASH评分更低，耐寒不耐受性更低。
