两例异体手移植临床随访  

Following-up report of the curative effects of 2 cases of both hands allotransplantation

作　　者：杨成林[1] 毕郑钢[1] 张信英[1] 于钟毓[1] 邵明[1] 张震宇[1] 张军[1] 曹杨[1] 付春江[1] 

机构地区：[1]哈尔滨医科大学附属第一医院骨科,150001

出　　处：《中国矫形外科杂志》2004年第23期1839-1841,共3页Orthopedic Journal of China

基　　金：黑龙江省"95"攻关课题基金资助项目(G97C18-4-3)

摘　　要：目的探讨比较2例不同平面异体双手移植术后疗效。方法应用显微外科技术对2例于前臂不同平面双手创伤性缺失的患者行异体双手移植,术前、术中及术后一体化康复治疗,随访17～36个月。结果两例患者术后疗效均达优良;然而从功能、感觉、外形等方面综合评价,前臂近1/3平面移植双手优于前臂远1/4平面移植双手。结论医生经验积累和患者主观能动性充分发挥将有助于移植手良好功能的恢复。Objective:To study and compare the curative effects of 2 cases of both hands allotransplantation at different levels.Method:Both hands allograft were applied to 2 patients with both hands traumatic defects at different levels, which were intervened with the integrative rehabilitation program being composed of the pre-and post-operative rehabilitation. The 2 cases were followed up for 17～36 months.Result:The curative effects of 2 cases postoperatively were fine or good. However, the effects of the patient at the proximal 1/3 of forearm is superior to that of the other one at the distal 1/4 of forearm by means of comprehensive assessment including function, sensation, appearance, and so on.Conclusion:The experiences of surgeons and the conscious activity of the patients will contribute to the excellent restoration of allograft hands.

关 键 词：手 异体移植 手缺失 

分 类 号：R658.2[医药卫生—外科学]