摘要
目的探讨小儿末节断指临床分型对提高再植成活率的影响。方法观察22例26指小儿末节手指离断伤,将其分为三型。I型:离断部位自远节指间关节横纹至甲根部,此型吻合指动静脉进行再植。Ⅱ型:甲根部至指腹螺纹中心。Ⅲ型:指腹螺纹中心以远。Ⅲ型伤口清创后直接原位缝合。Ⅱ型中依据损伤程度再分为两种处理方法。结果四种方法治疗的成活率分别为85.7%、66.7%、66.7%和75%,其中再植后的手指恢复满意的感觉和外形。结论小儿末节断指应正确地予以处理,末节再植是最有效的治疗方法,有较高的成活率、满意的感觉和外形。
Objective To explore treatment of clinical typing of last segment severed finger of young children,in order to raise the servival rate of replanted finger.Methods 22children with last segment severed finger(total26fingers)were divided into three types:typeⅠsevered site was that from distant segment transversal crease of manual interphalangeal joints to finger radix unguis,in the type had arteriovenous anastomosis,then the severed finger had repiantation.TypeⅡFrom finger nail root to palmar crease centre was injured.TypeⅢThe severed site had a distance from the palm print centre,in the type had directly orthotopic suture following the finger wound washing.According the injured degree of fingers,its treatment were subdivided to two mothods.Results Survival rates of the four treatment mothods were85.7%,66.7%,66.7%and75%,respectively.The replanted finger had perfectly feeling and apperance.Conclusions Last segment severed finger in yound children should treat correctly,most effective treatment method is last segment replantation,its advantages are higher survival rate,satisfied feeling and apperance.[
出处
《临床小儿外科杂志》
CAS
2002年第5期347-348,384,共3页
Journal of Clinical Pediatric Surgery
关键词
指损伤
外科学
Finger Injuries /SU
