严重前臂及手部外伤的急诊修复

Emergency soft tissue repair of severe forearm and hand impairment

目的探讨急诊修复严重前臂及手部外伤的治疗方法和疗效。方法对36例严重前臂及手部外伤患者采用下述方法一期修复：重建血循环18例,带蒂组织转移覆盖创面5例,游离移植软组织覆盖创面23例,组合移植覆盖创面6例。结果 36例均获得随访,随访时间为6个月-8年,平均20个月。末次功能评定：优14例,良16例,可4例,差2例,优良率为83.3%。结论对一些严重前臂及手部外伤,可以采用合理显微外科方法急诊修复来保留肢体的功能。

Objective To investigate the methods and treatment outcome for repairing severe forearm and hand impairment.Methods Thirty-six cases of severe forearm and hand impairment were treated with microsurgery techniques to repair and reconstruct the injured tissues.Among 36 cases,18 cases were given blood supply repairing,5 cases pedicled flaps,23 cases free flaps and 6 cases combined flaps,respectively.Results After 6 months to 8 years follow-up with an average of 20 months,the functional recovery of the injured forearm and hand had an excellent result of 83.3%.Conclusion The microsurgical method is a useful procedure to repair the blood supply and reconstruct the function in one stage or by stages so that the damaged limb which may be cut off will be survived.