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[手部移植史:手术技术、药物进展及移植手的存活情况。文献综述]

[History of hand transplantation: advancement in the operative technics, medications and the survival of the transplanted hands. Review of literature].

作者信息

Bíró Vilmos

机构信息

Pécs, Hajnóczy u. 25/A, II. em. 2., 7633.

出版信息

Orv Hetil. 2017 Sep;158(38):1483-1487. doi: 10.1556/650.2017.30848.

Abstract

The author summarizes briefly the history of hand allograft transplantation, the basics of the operative technics, and the medicinal treatment of the immunosuppression. He establishes that this operation requires complicated team-work: many specialists must be united in the interest of the successful final outcome. The biggest problem is not the technical challenge of the complicated operation, but the ineffectiveness of immunosuppression, its complications; even though significant development has happened in this field and experimental results are also encouraging. The author discusses these questions in this publication in the mirror of literature data. He states, that a successful hand transplantation, with its sensory and motoric functions can increase quality of life, in contrast with the ortheses. Orv Hetil. 2017; 158(38): 1483-1487.

摘要

作者简要总结了手部同种异体移植的历史、手术技术基础以及免疫抑制的药物治疗。他指出,该手术需要复杂的团队协作:许多专家必须为了最终的成功结果而团结起来。最大的问题不是复杂手术的技术挑战,而是免疫抑制的无效性及其并发症;尽管该领域已经取得了显著进展,实验结果也令人鼓舞。作者在本出版物中根据文献数据探讨了这些问题。他指出,与假肢相比,成功的手部移植及其感觉和运动功能可以提高生活质量。《匈牙利医学周报》2017年;158(38):1483 - 1487。

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