Sun Zhong-Yang, Li Li-Yi, Xing Jian-Xin, Tong Liang-Cheng, Li Ying
Department of Orthopedics, Air Force Hospital of Eastern Theater, Nanjing 210002, Jiangsu Province, China.
World J Clin Cases. 2023 Jul 16;11(20):4926-4931. doi: 10.12998/wjcc.v11.i20.4926.
This study aims to describe the application of a modified St. Thomas' solution in patients with severe limb injuries.
Four patients who sustained a high-energy trauma and underwent complete upper limb amputation were pretreated with a modified St. Thomas' solution before upper limb replantation. After the perfusion solution stopped flowing from the blood vessel, the amputated upper limb amputation was replanted. The patients were instructed to perform functional rehabilitation training after the operation. All 4 patients were followed up for 5 years. All the severed upper limbs survived. Routine re-examination after the operation showed that the function of the affected limb was restored. All the patients were satisfied with the sensory and functional recovery of the affected limb.
The modified St. Thomas' solution can effectively improve the success rate of limb salvage surgery and the recovery of limb function in patients with a severe limb injury.
本研究旨在描述改良圣托马斯溶液在严重肢体损伤患者中的应用。
4例遭受高能创伤并接受上肢完全截肢的患者在进行上肢再植术前接受了改良圣托马斯溶液预处理。当灌注液停止从血管流出后，对截断的上肢进行再植。术后指导患者进行功能康复训练。4例患者均随访5年。所有离断的上肢均存活。术后常规复查显示患侧肢体功能恢复。所有患者对患侧肢体的感觉和功能恢复均满意。
改良圣托马斯溶液可有效提高严重肢体损伤患者保肢手术的成功率及肢体功能恢复情况。
