摘要
目的:探讨中西医结合治疗并组织缺损的手掌贯通伤的方法和疗效。方法:对22例伴有影响手指血运的血管损伤给于修复,外用中药换药,待创面稳定后一期取带血管足背双叶皮瓣移植修复皮肤缺损,取趾长伸肌腱修复肌腱缺损,取髂骨植骨修复骨缺损。结果:随访8￣56个月,平均30个月。皮瓣全部成活,伤口Ⅰ期愈合,移植骨全部愈合,手掌外观、感觉、运动功能恢复良好。结论:中药换药能够有效控制创面炎症,缩短病程;微外科技术可以一次性修复两侧皮肤、骨髂、肌腱、神经的缺损,最大程度地恢复手掌的外观、感觉及功能。
Objective To explore the method western medicine as treament for palm penetrating and clinical effect with integrated traditional Chinese and wounds with tissue defect.Methods 22 patients with palm penetrating wound were treated with reconstructive vascular operation for finger＇s davascularization at the first time,then traditional herbal medicine were applied locally until the wounds became healthy and stable,at last free bifollate tandem dorsal foot skin flap and tendon of extensor digitorum and cutaneous nerve and bone ilium were implanted to repair the tissue defect of stage I.Results 22 eases were followed up, ranging from 8 monthsto 56 months,average 30 months.All of the flaps survived,the wound healed well at stage I,all grafted bone united.The outline and sensory and function of palm were satisfactory.Conclusion Traditional herbal medicine application can control the inflammation of wound effectively and shorten the course of treatment.Mricrosurgical technique can repair the defect of the twoside skin：bone,tendon and nerve at stage I,with satisfactory outline and sensory and function of palm.
出处
《中国中西医结合外科杂志》
CAS
2008年第1期13-15,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
中西医结合
显微外科
手掌贯通伤
组织缺损
移植
integrated traditional Chinese and western medicine,mricrosurgical technique,palm penetrating wound, tissue defect, transplantation
