单手4指20节段多平面离断再植一例术后1年随访  

One year follow-up after replantation of 20 segments of 4 fingers in one hand

作　　者：文科 秦夏冰 刘东[1] 刘有余[1] 刘堂鑫[1] 詹祖锋[1] 赵飞[1] 姚忠军[1] WEN Ke;QIN Xiabing;LIU Dong;LIU Youyu;LIU Tangxin;ZHAN Zufeng;ZHAO Fei;YAO Zhongjun(Department of Hand and Microsurgery,Affiliated Taihe Hospital of Hubei Universtiy of Medicine,Shiyan,Hubei Province 442000,China)

机构地区：[1]湖北医药学院附属十堰市太和医院手显微外科,湖北十堰442000

出　　处：《中华显微外科杂志》2022年第5期580-584,共5页Chinese Journal of Microsurgery

摘　　要：2020年12月,湖北医药学院附属十堰市太和医院手显微外科收治1例右手第2~5指20节段多平面离断伤患者,采用分组显微吻合拼接,最后完成再植。术后1年随访,患者离断20节段最终成活17节段,依据中华医学会手外科学会断指再植功能评定试用标准,患指功能评级为57分,功能差;患者掌指关节活动度较术后半年明显改善,可进行简单抓握、对捏及对指;感觉较术后半年恢复,但右手指体进行性萎缩,指骨间关节僵硬,无屈伸活动度,再植手指功能受限。A patient with 20-segments multi-planar amputation of the 2nd-5th fingers of the right hand was treated in December 2020 in the Department of Hand and Microsurgery,Affiliated Taihe Hospital of Hubei Universtiy of Medicine.The groupings was performed with microscopic anastomosis and splicing,and the replantation was finally completed.Followed-up at 1 year after surgery,the 17 segments of 20 severed finger segments finally survived.According to the Chinese Medical Association's Hand Surgery Branch's Functional Evaluation Criteria for Replantation of Amputated Fingers,the patient's finger function rating was 57 points and the function was poor at 1-year follow-up.The range of motion of the metacarpophalangeal joint was significantly improved compared with half a year after the operation.The simple grasping,pinching and fingering can be completed.The finger sensation was improved compared with half a year after the operation,but the finger body of right hand atrophied progressively,the interphalangeal joint was stiff,wirheut flexion nor extension range of motion.The function of the replanted finger was limited.

关 键 词：断指再植 多平面离断 随访 

分 类 号：R658.1[医药卫生—外科学]