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作 者:夏小飞 李鑫 潘艳丽 尹文涛 XIA Xiaofei;LI Xin;PAN Yanli;YIN Wentao(Hand-foot Microsurgery Department,Xinyi People's Hospital,Jiangsu Province,221400,China)
机构地区:[1]新沂市人民医院手足显微外科,江苏新沂221400
出 处:《中国医疗美容》2024年第11期62-64,共3页China Medical Cosmetology
摘 要:目的对于手指离断患者治疗,探究显微镜下手指不短缩断指再植术治疗方案应用效果及经验总结。方法选取2022年1月至2024年9月新沂市人民医院收治的42例手指离断患者,均接受显微镜下手指不短缩断指再植术。记录患者手术效果、断指再植成活率、断指血液循环、恢复情况、患者的心理弹性水平。结果42例患者手术时间(52.05±0.79)min,断指再植成活率97.62%(41/42),优良率为95.24%(40/42);断指血液循环,术后1个月血流速度(5.44±0.55)cm/s,阻力指数(1.12±0.08);术后断指恢复情况,两点辨别觉(5.34±0.52)mm、远端指关节活动度(78.25±4.12)°、主动活动总程度评分为(13.28±0.46)分、断指指甲长度(15.41±1.52)mm;42例患者对该治疗方法满意度评价为95.24%(40/42)。干预前,患者心理弹性水平评分(69.27±5.15)分、干预后心理弹性水平评分(84.25±8.36)分(P<0.05)。结论针对手指离断患者治疗,采用显微镜下手指不短缩断指再植术进行治疗能大大降低因短缩手指造成的外观影响,提升断指的功能恢复。降低患者心理障碍的发生,进一步提升患者的生活质量,临床可进一步推广运用。Objective For the treatment of patients with finger amputation,to explore the application effect and experience summary of the replantation treatment scheme of fingers with non-shortening and severed fingers under the microscope.Methods Forty-two patients with severed fingers admitted to Xinyi People's Hospital from January 2022 to September 2024 were selected,all of whom underwent microscopic fifinger replantation surgery without shortening the fifingers.Record the surgical outcomes,survival rate of severed fifinger replantation,blood circulation of severed fifingers,recovery status,and the patient's psychological resilience level.Results The operative time of 42 patients was(52.05±0.79)min.The survival rate of replantation was 97.62%(41/42),and the excellent and good rate was 95.24%(40/42).Blood circulation,blood flow velocity(5.44±0.55)cm/s,resistance index(1.12±0.08)1 month after operation;After operation,the recovery of severed fifinger was(5.34±0.52)mm,the range of motion of distal fifinger joint w as(78.25±4.12)°,the total active activity score was(13.28±0.46)points,and the length of severed fifinger nail was(15.41±1.52)mm.The satisfaction of 42 patients with this treatment was 95.24%(40/42).Before intervention,the psychological resilience score of patients was 69.27±5.15 points,and after intervention,the psychological resilience score was 84.25±8.36 points(P<0.05).Conclusions For the treatment of fifinger amputation patients,the use of microscope fifinger replantation can greatly reduce the appearance of the fifinger caused by short contraction and improve the functional recovery of the fifinger.Reduce the occurrence of psychological disorders in patients,further improve the quality of life of patients,and can be further promoted and applied in clinical practice.
关 键 词:手指离断 显微镜下手指不短缩断指再植术 满意度评价
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