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儿童断指再植

Digital replantation in children.

作者信息

Cheng G L, Pan D D, Yang Z X, Fang G R, Gong X S

出版信息

Ann Plast Surg. 1985 Oct;15(4):325-31. doi: 10.1097/00000637-198510000-00009.

DOI:10.1097/00000637-198510000-00009
PMID:4083732
Abstract

This article reports a series of 21 cases of digital replantation in children between 14 months and 10 years of age (mean age, 3 1/2 years) who had a total of 32 digits traumatically amputated. The amputation levels were proximal phalanx in 15 digits, proximal interphalangeal joint in 3 digits, middle phalanx in 3 digits, and distal interphalangeal joint in 11 digits. All but one digit survived after replantation, for an overall survival rate of 96.6%. The longest ischemic time was 28 hours. Several technical points related to the success of this series of cases are discussed in detail.

摘要

本文报告了一系列21例年龄在14个月至10岁(平均年龄3.5岁)的儿童手指再植病例,这些儿童共有32根手指因外伤被截断。截断水平为:15根手指在近节指骨,3根手指在近侧指间关节,3根手指在中节指骨,11根手指在远侧指间关节。除1根手指外,其余所有手指再植后均存活,总体存活率为96.6%。最长缺血时间为28小时。详细讨论了与这一系列病例成功相关的几个技术要点。

相似文献

1
Digital replantation in children.儿童断指再植
Ann Plast Surg. 1985 Oct;15(4):325-31. doi: 10.1097/00000637-198510000-00009.
2
Digital replantation in children: a long-term follow-up study.儿童断指再植:一项长期随访研究
Microsurgery. 1990;11(4):261-4. doi: 10.1002/micr.1920110402.
3
[Acute vascular disorder as a complication of replantation and revascularization of the digital area].[急性血管疾病作为指部再植和血管重建的并发症]
Handchir Mikrochir Plast Chir. 1990 Jan;22(1):39-45.
4
Distal digital replantations and revascularizations. 237 digits in 192 patients.远端手指再植与血管重建。192例患者共237根手指。
J Hand Surg Br. 1998 Oct;23(5):578-82. doi: 10.1016/s0266-7681(98)80005-3.
5
Arteriovenous shunt in digit replantation.断指再植中的动静脉分流术。
J Hand Surg Am. 1990 Jan;15(1):160-5. doi: 10.1016/s0363-5023(09)91125-x.
6
Digital replantation distal to the proximal interphalangeal joint.近端指间关节远侧的断指再植
J Hand Surg Am. 1982 Mar;7(2):161-6. doi: 10.1016/s0363-5023(82)80081-6.
7
Reconstruction of circulation in the fingertip without vein repair in zone I replantation.I区再植术中不进行静脉修复的指尖血液循环重建。
J Hand Surg Am. 2008 Nov;33(9):1597-601. doi: 10.1016/j.jhsa.2008.05.005.
8
Digital replantation. A ten-year retrospective study.断指再植。一项十年回顾性研究。
Chin Med J (Engl). 1991 Feb;104(2):96-102.
9
Replantation of digits amputated at or about the distal interphalangeal joint.手指在远侧指间关节或其附近离断后的再植。
Ann Plast Surg. 1985 Dec;15(6):465-73. doi: 10.1097/00000637-198512000-00003.
10
Distal phalanx microsurgical replantation.远节指骨显微再植术
Microsurgery. 1994;15(7):464-8. doi: 10.1002/micr.1920150706.

引用本文的文献

1
Outcomes of Digit Replantation in Children: A Systematic Review.儿童断指再植的结果:一项系统评价。
Plast Reconstr Surg Glob Open. 2023 Dec 14;11(12):e5482. doi: 10.1097/GOX.0000000000005482. eCollection 2023 Dec.
2
Pediatric Digit Replantation Following Traumatic Amputation: Nationwide Analysis of Patient Selection, Outcomes, and Cost.小儿断指再植术后创伤性截肢:患者选择、结果和成本的全国性分析。
Hand (N Y). 2021 Sep;16(5):612-618. doi: 10.1177/1558944719873150. Epub 2019 Sep 14.
3
Digit replantation in children: a nationwide analysis of outcomes and trends of 455 pediatric patients.
儿童断指再植:455例儿科患者结局及趋势的全国性分析
Hand (N Y). 2014 Jun;9(2):244-52. doi: 10.1007/s11552-014-9628-8.
4
Differences in treatment of digital amputation injuries based on community transfer versus tertiary initial presentation.基于社区转运与三级医疗机构首次就诊的数字截肢损伤治疗差异。
Hand (N Y). 2012 Sep;7(3):259-62. doi: 10.1007/s11552-012-9431-3.
5
[Operative strategies for hand injuries in multiple trauma. A systematic review of the literature].[多发伤手部损伤的手术策略。文献系统综述]
Unfallchirurg. 2005 Oct;108(10):850-7. doi: 10.1007/s00113-005-0996-y.