急诊植骨加皮管拇食指再造

Emergency Embedding the Bone Plus Thumb and Fore-finger Regeneration with Flap Canals

目的:为探讨急诊拇食指再造的方法和疗效观察。方法:对指体严重损伤、无再植条件35例共38指,选择急诊植骨和管状皮瓣进行拇食指再造,治疗时间为1～3个月。结果:术后平均随访6.5个月,再造38指,其中拇指16指,食指22指,全部成活。结论:手创伤后修复的手术方法很多,各有优缺点,本术式操作简便,取材容易,不受伤指皮肤缺损面积的影响,可一期完成,适用于急诊拇食指再造和多指再造,疗效好,成功率高,再造的手指有实体感觉,有对指和捏持功能,皮瓣痛觉、触觉功能都有不同程度的恢复,最大限度地保留了指的部分功能,恢复手指的一定外形,不用牺牲部分肢体,易为患者接受。

Objective: To probe into the method and curative effect about emergency embedding the bone thumb and fore-finger regeneration.Methods:38 injured fingers (35 patients) were regenerated with emergency embedding bone plus flap canals.Treatment time was 1 ~ 3 months. Results: Following-up for 6.5 months indicated that 38 regeneraled fingeres( 16 thumbs, 22 fore-fingers) all survived. Conclusion: This method shows a good curative effect and the injured fingers hav e a high sun ive rate. It is a good method.