从原位缝合到显微血管吻合——断指再植历史考证

From in-situ suture to microvascular anastomosis:a historical study of digit replantation

1959年,Douglas报道完全离断指尖原位缝合-复合移植成活;1960年代初,Jacobson、Buncke分别行口径1.4 mm、0.8 mm实验性显微血管缝合及猴断指再植成功;1962年,Kleinert不完全离断拇指显微血管缝合再植成功;1965年,Tamai完全离断拇指显微再植成功;1967年,陈中伟首次英文报道断指再植成功20例;1972年10月,O'Brien访华并报道中国断(指)肢再植技术、经验;1972年11月召开的广州断肢再植经验交流会上,总结完全断指260例398指,再植成功179指(占44.9%);1973年5月,北美断肢再植医师代表团访华并发布访华报道,中国断肢(指)再植技术与原则被国际同行认可。1974年1月,陈中伟率中国显微外科代表团访美,被邀作断肢(指)再植创始者报道,进一步扩大了中国断肢(指)再植的国际影响。

In 1959,Douglas reported successful survival of in-situ suturing composite graft of completely amputated fingertips.In the early 1960s,Jacobson and Buncke respectively performed experimental microvascular anastomosis in vessel diameters of 1.4 mm and 0.8 mm,and achieved replantation of amputated finger in monkey.In 1962,Kleinert successfully replanted incompletely amputated thumbs through microvascular anastomoses.In 1965,Tamai achieved replantation of completely amputated thumbs using microsurgery techniques.In 1967,Chen Zhongwei published the first report in English on successful replantation of severed digits in 20 cases.In October 1972,O'Brien reported Chinese limb(digit)replantation techniques and experiences after his visit to China.In November 1972,an exchange meeting on replantation of amputated limb was held in Guangzhou,China,where a total of 398 complete severed digits of 260 patients,with 179 successful replantation(44.9%)were reported.In May 1973,a delegation of North American limb replantation surgeons visited China and later published a report about the visit.Since then the techniques and principles of limb(digit)replantation applied by the Chinese surgeons were recognised by international peers.In January 1974,a Chinese delegation of representatives in microsurgery led by Chen Zhongwei visited the United States and delivered a presentation as the pioneer of limb(digit)replantation.It further expanded the influence of Chinese limb(digit)replantation on the international community.