伴有挤压伤的前臂离断再植的治疗研究  

Research of replantation for forearm crush injury

作　　者：赵升宇[1] 王雪莹[1] 卢立春[1] 范微微[1] 曲狄[1] 孙衍峰[1] 

机构地区：[1]黑龙江省大庆油田总医院烧伤整形科,163003

出　　处：《中华损伤与修复杂志（电子版）》2007年第5期282-283,共2页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的探讨伴有挤压伤的前臂离断再植的手术方法及功能重建效果。方法对6例患者离断前臂进行彻底清创、不同程度短缩骨骼，进行有效的内固定，尽可能修复上肢的主要神经、血管及肌肉（肌腱）组织，一期闭合创口。结果6例离断前臂中除1例再植肢体因感染、坏死截肢外，其余5例全部成活，术后随访2—4年，再植肢体功能恢复良好。结论在断肢再植手术中，必须熟练掌握前臂应用解剖，具备骨科、血管外科、整形外科的基本知识和技术，应用显微外科技术才能使再植的前臂和手获得良好的功能恢复。Objective To discuss the methods of replantation and effect of function reestablishment of forearm after crush injury. Methods In six cases, patients with severe injury of forearm were treated by thorough debridement, varying degrees of contraction of skeleton and effective internal fixation. The main nerves, vessel, muscle and tendon of forearm were almost fully repaired. The wounds were also sutured im- mediately after the operation. Results In one case, the operation failed due to infection and necrosis. The other five cases were successful. Five patients were followed up for 2 to 4 years. The upper limb function recovered very well in those five cases. Conclusions During the period of replantation, it is essential to master the basic knowledge of anatomy and the skills of orthopedic, vascular and plastic surgery. Microsurgery can help to improve recovery of replanted forearm dramatically.

关 键 词：前臂 损伤 断肢 再植 

分 类 号：R658[医药卫生—外科学]