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10指完全离断再植成功。

Successful replantation in 10-digit complete amputations.

作者信息

Qing-tai L, Chang-qing J Z, Ke-fei Y, Sha-ling C, Jan L, Zun-ying L

机构信息

Department of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, People's Republic of China.

出版信息

Plast Reconstr Surg. 1996 Aug;98(2):348-53. doi: 10.1097/00006534-199608000-00023.

Abstract

We report a case of successful replantation of 10-digit complete amputations. The conditions of the wounds over the ends of the 10 amputated digits are bound to vary; some are too severe to be replanted, while others may be light and easy for replantation. We reported a case of 10-digit complete amputations, with severe avulsion injuries over four fingers. Appropriate measures were taken during surgery, and the replanted digits all survived. The replantation operation was done by a team of surgeons, although the surgeons were physically challenged by the long and difficult procedures. However, it was the great pleasure of the surgeons to work hard and whole-heartedly for the benefit of the patient. Postoperative physiotherapy and exercises were done. After 6 months, the functions of both hands had been largely recovered. Complete amputations of 10 digits as a rule result in multiple complicated wounds. The replantation procedure for these conditions is not an easy endeavor because there are numerous blood vessels that need to be anastomosed, the time of the operation will be dreadfully long, and also there is the danger of the occurrence of vascular crises during the postoperative period. It is difficult to achieve successful survival of all 10 amputated digits after replantation.

摘要

我们报告一例10指完全离断再植成功的病例。10个离断手指残端的伤口情况必然各不相同;有些伤势过重无法再植,而另一些则可能较轻,易于再植。我们报告了一例10指完全离断病例,其中4根手指有严重的撕脱伤。手术过程中采取了适当措施,再植手指全部存活。再植手术由一组外科医生完成,尽管外科医生们面临着漫长而艰难的手术过程带来的身体挑战。然而,为了患者的利益而努力工作并全心全意付出,对外科医生们来说是极大的乐趣。术后进行了物理治疗和功能锻炼。6个月后,双手功能已基本恢复。通常情况下,10指完全离断会导致多处复杂伤口。针对这些情况的再植手术并非易事,因为需要吻合大量血管,手术时间会非常长,而且术后还存在血管危象发生的风险。再植后要使10个离断手指全部成功存活是很困难的。

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