拇指旋转撕脱性离断再植的国内研究进展  

Domestic research progress in replantation of rotational avulsed thumbs

作　　者：徐建华(综述)[1] 宫可同(审阅)[1] XU Jianhua;GONG Ketong(First ward of Hand Microsurgery,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津医院手显微外科一病区,天津300211

出　　处：《中华显微外科杂志》2021年第6期705-709,共5页Chinese Journal of Microsurgery

摘　　要：拇指缺失将对手功能造成严重影响,应争取对离断的拇指进行再植。旋转撕脱离断伤的再植难度明显高于其他类型断指,但随着显微技术及设备的进步,再植的成活率明显提高。如何实现手术简便快捷、供区创伤最小及功能最佳,是今后的探索方向。然而,目前不同术者间的手术方法存在明显差异,没有统一的标准术式。本文回顾国内文献,对拇指旋转撕脱性离断再植术中的骨骼处理,神经、肌腱、血管修复及软组织覆盖等具体方法进行综述,总结出临床上应用最为广泛、效果最理想的术式,为临床医师提供参考。Thumb loss will seriously affect hand function.Replantation of a severed thumb is indispensable if possible.There is a higher level of difficulty in replantation of rotational avulsed thumbs when compared with other type of severed digit.But with the development of microsurgery technique and instruments,the survival rate of replantation has been significantly increased.How to achieve a simple and fast operation,minimal trauma at the donor site and the best function recovery,is the task for future exploration.However,there exists obvious variance in individual differences among surgeons,due to the lack of a unified standard surgical procedure.Therefore,based on a study of domestic literatures,this article reviews the specific methods in handling of bones,repair of nerve,tendon and blood vessels as well as the skin coverage applied in replantation of thumb rotation avulsion detachment.This article summarises the most clinical widely used and ideal operations and provides a reference for the surgeons.

关 键 词：拇指 撕脱离断 再植术 

分 类 号：R658.1[医药卫生—外科学]