Dahlin Lars, Arner Marianne, Fredrikson Per, Laurell Tobias, Paolo Sassu, Wadström Jonas, Wiberg Mikael
Lunds universitet, Institutionen för Translationell Medicin - Handkirurgi Malmö, Sweden - Malmö, Sweden.
Handkirurgiska kliniken, Södersjukhuset - Stockholm, Sweden Handkirurgiska kliniken, Södersjukhuset - Stockholm, Sweden.
Lakartidningen. 2017 Sep 25;114:EM4I.
English summary: Hand transplantation in Sweden - preparations under way Some patients with a uni- or bilateral hand- or forearm amputation cannot use a hand prosthesis, although high-tech prostheses have been developed. A hand transplantation, particularly for those with bilateral amputations, may be an alternative solution. In a hand-transplanted patient, grip function, strength, sensibility and subsequent improved quality of life can be restored. Risks related to immunosuppression must be balanced by expected benefits, and thorough selection of patients has to be performed from both medical and psychological point of view. Therefore, a national network has been established in Sweden to achieve coordination with the needed competence.
瑞典的手部移植——筹备工作正在进行 尽管已经开发出高科技假肢,但一些单侧或双侧手部或前臂截肢的患者仍无法使用手部假肢。手部移植,尤其是对于双侧截肢患者而言,可能是一种替代解决方案。在接受手部移植的患者中,抓握功能、力量、感觉以及随之改善的生活质量都可以得到恢复。与免疫抑制相关的风险必须与预期益处相权衡,并且必须从医学和心理角度对患者进行全面筛选。因此,瑞典已建立起一个全国性网络,以实现与所需专业能力的协调配合。