急诊手指末节远端切割离断伤两种治疗方法的比较  

Compare of Two Treatments of Distal Segment Mutilated Fingers for Emergency Cases

作　　者：徐开明[1] 张建[2] 王一民[3] 李震 

机构地区：[1]北京大学深圳医院急诊外科,518036 [2]北京大学深圳医院手外科,518036 [3]深圳市第四人民医院骨科,518036 [4]深圳市第六人民医院麻醉科,518028

出　　处：《岭南急诊医学杂志》2016年第1期59-61,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨手指末节切割离断伤再植两种治疗方法(原位缝合法和随意血管束贯穿植入加原位缝合法)的预后情况。方法:对两种治疗方法处理的手指末节切割离断伤72例81指进行总结分析,比较分析患指存活率及术后恢复情况。结果:随意血管束贯穿植入加原位缝合法治疗患指存活率略高于原位缝合法,但其术后功能恢复明显优于原位缝合法。结论:随意血管束贯穿植入加原位缝合法是一种简单、有效的治疗方法,其效果优于原位缝合法。Objective ： To explore the prognosis of distal segment mutilated fingers caused by knifing treated by two different treatments（suture with random neurovascular bundle or orthostatic suture）. Methods ： 72 patients with82 distal segment mutilated fingers were observed in the present study. The survival rate and functional recovery of distal segment mutilated fingers were compared between the two groups. Results ： The survival rate of distal segment mutilated fingers in the suture with random neurovascular bundle group was slightly higher than that of the orthostatic suture group, while the functional recovery of distal segment mutilated fingers was significantly better than that of the orthostatic suture group. Conclusion ： The suture with random neurovascular bundle is simple and effective and is more therapeutic than the orthostatic suture.

关 键 词：手指末节切割离断 原位缝合 随意血管束贯穿植入 

分 类 号：R658.2[医药卫生—外科学]