异体双前臂移植四年康复一例报告  

A 4-year follow-up of functional rehabilitation in a patient with allografted forearms

作　　者：毕郑钢[1] 邵明[1] 郭清阳[1] 于钟毓[1] 

机构地区：[1]哈尔滨医科大学附属第一医院骨科,150001

出　　处：《中华创伤骨科杂志》2006年第12期1109-1112,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的总结高位双前臂缺失异体移植术后手功能重建及康复的临床效果。方法在应用新型免疫抑制剂及综合抗排斥方案的条件下,采用一体化康复计划,对1例高位双前臂缺失患者术前组织配型、异体移植手术及术后功能康复等治疗,随访4年。结果双前臂、手外形好,感觉基本正常,两点辨别觉2．5～4．0 cm,手指总屈伸度(TAM)均为优良,生活完全自理,心理健康。结论异体双前臂移植术后手功能康复效果满意。Objective To report the functional reconstruction and rehabilitation for a patient who underwent allograft for both of his forearms and hands. Methods One male patient underwent allograft for both of his forearms and hands in October 2002 in our department to reconstruct his hand functions. The allografted hands were intervened with an integrated rehabilitation program, which involved administration of immunosuppressants, postoperative monitoring, postoperative functional training, massage, physiotherapy, orthosis, performance training, sensation training, secondary operation and mental rehabilitation. The patient was followed up for 4 years. Results The forearms and hands of the patient were in good shape and regained nearly normal sensation. The distance of two-point-discrimination was 2.5 cm to 4. 0 cm. The TAM （total active motion） of fingers was fine. The patient could look after himself well and were healthy in psychology. Conclusion An integrated rehabilitation program can yield satisfactory results in the management of allografted forearms and hands.

关 键 词：异体移植 前臂 手 重建 康复 

分 类 号：R658.2[医药卫生—外科学]