3岁以下幼儿手指离断的手术治疗

Microsurgical Operation on Mutilated Fingers in Children Younger Than 3 Years

目的:讨论3岁以下幼儿手指离断的手术治疗。方法:利用显微外科技术10倍镜下行断指再植术,术后利用冬非合剂对患儿进行镇静催眠。结果:本组6例10指全部成活,其中1指术后2d出现静脉危象,经处理5d后手指成活。术后平均随访6个月,患儿手指功能、外型俱佳。结论:高超的显微外科技术,术后成功的护理,大大提高了幼儿断指再植的成功率。

Objective：To discuss surgical therapy on mutilated fingers in children younger than 3 years. Methods：Transplantation of multilated fingers were performed with microsurgical technique. The sedative and somnifacient were administrated after operation. Results：All 10 fingers of 6 cases were alive, including 1 finger occured vein crisis at 2 day after operation and was alive at 5 day after management. Followed up 6 months, the function and apperance of fingers was well. Conclusion： The excellent micro surgical technique and successful postoperative nursing improves the success rate of transplantation of multilat ed fingers in younger children.