摘要
本文作者对国际手外科协会制定的检查与评定标准的基础上，进行了以下几点改进：（１）使拇指外展及对掌功能的检查，由单纯距离的计算改为距离比值的计算。（２）将手部皮肤感觉检查分级和两点辩别试验的结果同时纳入感觉评定标准中。（３）将手部缺损的计算方法由计算缺损长度改为计算缺损面积。（４）在评定关节活动功能时，除考虑关节本身的活动角度及位置之外，还同时考虑到该关节以远肢体缺损情况对关节功能的影响。（５）在原国际评定标准中未将手掌手背的感觉障碍及经掌部的肢体缺失计算在内，本项研究改进了这一不足。此外，还将上述研究成果编成计算机软件，使用该软件时，只要将手部功能检查结果输入计算机，立刻可得出明确的手失能百分数。
AbstractOn the basis of the international evaluation of im-pairment of hand function,we propose five improve-ments:(1)For the evaluation of the impairment ofthumb opposition and adduction,calculating the ratioof two distances takes the place of measuring a puredistance.(2)Hand sensory impairment evaluation isbased upon both results of a sensory examination and atwo-point discrimination test.(3)On the evaluation ofamputatiOn percentages related to whole hand, measur-ing loss of length is replaced by measuring loss of area.(4)On the evaluation of a joint,we correlated thecombined angular measurement with the loss of length.(5)In the international evaluation of impairment ofhand function,the sensory or amputation of the palmand back of the hand is not counted,But they arecounted in our paper. Besides above-mentioned works.we have made asoftware with these improvements. You may obtaindefinite impairment percentages related to whole hand,so long as you input the results of examination of handfunction.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第2期69-72,共4页
Chinese Journal of Surgery
