脱套性断指的临床特点及再植

Sheathaike tear injury finger characteristics and treat

目的探讨脱套性断指的受伤机制、损伤的特点及再植的可行性。方法回顾性分析23例27指的受伤机制,并用手术电钻模拟受伤过程;术中观察其损伤的特点,并结合这些特点采取相应的措施进行修复。结果本组23例27指成活22指,功能恢复良好。结论脱套性断指是由于环勒或有一定间隙的物体卡压并在旋转或牵拉的外力作用下产生的;血管、神经、肌腱的断面常不在一个平面上,表现为长距离的撕脱伤;在认真分析受伤机制,仔细观察伤情后,采取灵活多变的手术方法,同样会获得良好的治疗效果。

ve Probe into the injuring mechanism, injuring characteristics and fearibility of sheathaike tear injury severed fingers. Methods Review and analyse the injuring mechanism of 27 fingers in 23 cases, and simulate the injuring processes using surgical electric drill, observe the injuring characteristics during the operation, and adopt corresponding measures to repair them in combination with those characteristics. Results 22 out of the 27 fingers in this group of 23 cases survived with their functions well recovered. Conclusion Sheathaike tear injury severed fingers result from external rotating or tracting forces when certain dearance; normally, the sections of blood vessel, nerve, tendon are not on the same plane exhibiting a long - distance avulsion; Good therapeutic effect can be achieved by adopting flexible operating methods after serious analysis of the injuring mechanism and careful observation of the injury condition.