前臂断肢再植的临床研究

Clinical study on forearra reimplantation

目的探讨前臂断肢再植手术过程，分析断肢再植术失败的原因，提高断肢再植成活率及患肢功能。方法对15例前臂离断伤的致伤原因、伤情、离断至吻合时间、手术过程、再植顺序及术后功能恢复进行分析研究。结果依据中华医学会手外科学会断指再植功能评定试用标准评分，优2例，良7例，中4例，差2例。再植成功率及功能恢复的优良与分析研究的因素密切相关。结论严格、准确地估计受伤机制及伤情，把握再植的时限，正确认识再植的操作顺序，术后早期进行保护下功能锻炼等是提高断肢再植成活率和功能恢复的关键。

Objective To discuss the operative procedure for forearm replantation and analyze the causes for its failure to improve the survival rate and function of dismembered forearm. Methods Analyzing traumatogenic causes,wound conditions, the interval between dismemberment and replantation, operative procedure and postoperative recovery of function of 15 cases of dismembered forearm. Results According to Chinese Medical Associaition hand surgery academy on the standard of replanlation of amputated finger： excellent 2, fine 7, mids 4, inferior 2 ,The success of forearm replantation and functional recovery of dismembered forearm were closely related to analyzed factors. Conclusion The indications and contraindications for limb replantation should he kept in mind by doctors. The interval between dismemberment and replantation, intraoperative procedure and the time for dirigation are the keys to the survival rate and functional recovery of dismembered limb.