组合与复合组织移植治疗手部套脱伤  

Combined and composite tissue transplantation for treatment of degloving Injuries of the hand

作　　者：刘会仁[1] 李瑞国[1] 曹磊[1] 张艳茂[1] 王岩[1] 侯金玲[1] 于占勇[1] 李国华[1] 

机构地区：[1]唐山市第二医院手三科,063000

出　　处：《中华手外科杂志》2006年第2期78-80,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨组合与复合组织移植治疗手部套脱伤及重建手功能的疗效。方法应用组合组织瓣和复合组织瓣移植治疗伴有指缺损的全手或手指皮肤套脱伤15例,共移植26块组织瓣。结果15例26块组织瓣,全部成活25块．部分坏死1块。术后随访5～36个月。手功能评定：优12例,良3例。结论组合与复合组织瓣移植是治疗伴有指缺损的手部皮肤套脱伤,重建手功能的良好治疗方法。Objective To evaluate the clinical results of free combined and composite tissue transplantation for treatment of degloving injuries of the hand. Methods 26 combined and composite tissue transplants were transferred to treat 15 cases of degloving injuries of the hand with loss of fingers. Results 25 flaps completely survived. There was partial necrosis of 1 flap. Postoperative follow-up ranged from 5 to 36 months. The functions and appearance were satisfactory, with good results in 12 cases and fair results in 3 according to the criteria of functional assessment for upper extremity issued by the Chinese Medical Association. Conclusion Combined and composite tissue transplantation is an optimal method for treatment of degloving injuries of the hand and functional reconstruction.

关 键 词：组织移植 手损伤 显微外科手术 套脱伤 

分 类 号：R658.2[医药卫生—外科学]