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手部挤压伤后虎口挛缩的早期防治 被引量:11

Prevention and cure of the first web contracture after hand crush injury in early stage
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摘要 目的 介绍早期预防手部挤压伤后虎口挛缩的治疗措施.方法 根据虎口挤压伤的伤情分三类:闭合性损伤、开放性损伤和伴有拇手指血管伤.在急诊期和亚急诊期采取延期闭合伤口、克氏针或微型外固定支架扩张撑开1、2掌骨,同时作局部或岛状皮瓣修复虎口创面.临床治疗共57例,然后测定患手的虎口宽度和虎口角度.结果 共随访到41例,经6个月~2年的随访,拇指外展对指功能良好,虎口距离平均为(5.89±0.58)cm;虎口平均角度为(87.85±6.03)°.结论 对于手部挤压而造成的虎口软组织损伤,急诊皮瓣转移开大虎口,早期支具外固定是预防虎口挛缩的关键. Objective To introduce the therapeutic measure of preventing the first web contracture after hand crush injury in early stage. Methods Three types were divided according to the traumatic condition in 57 cases: closed injury, open injury and with blood vessel of thumb or fingers injury, and used different method such as closing injury postpone, opening the first web by kischner wire or mini-external fixation splint and covered by local or island flap to cure each type in primary and early stage, after 6 months, measured the width and angle of the first web. Results Forty-one cases were followed-up after 3 months - 2 years,abduction and opposition of the thumbs were fine, the average of width and angle of the first web were (5.89 ± 0.58)cm and (87.85 ± 6.03)°. Conclusion The key points of preventing the first web contracture after crush injury are opening the first web that being covered by local flap and to use splint in primary stage.
出处 《中华显微外科杂志》 CSCD 北大核心 2010年第2期101-103,180,共4页 Chinese Journal of Microsurgery
关键词 虎口挛缩 皮瓣 移植 显微外科手术 First web space contracture Flap Transfer Microsurgical operation
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  • 1罗永湘,曹代成.骨间后动脉前臂背侧岛状皮瓣与筋膜瓣[J].中华显微外科杂志,1989,12(1):26-27. 被引量:10
  • 2张发惠,郑和平,刘经南,钟桂午.前臂背侧血管分布特点与皮瓣设计[J].中华显微外科杂志,1996,19(1):41-44. 被引量:32
  • 3顾玉东 吴敏明 等.虎口挛缩的病因、预防及治疗[J].中华骨科杂志,1986,6(1):1-3.
  • 4Swanson AB,Hagert CG.Evaluation of impairment of hand function.J Hand Surg,1983,8A:709 - 23.
  • 5Jensen CB,Rayan GM,Davidson R.First web space contracture and hand function.J Hand Surg,1993,18A:516 - 20.
  • 6许扬滨,中华显微外科杂志,1999年,22卷,30页
  • 7于国中,中华显微外科杂志,1996年,19卷,81页
  • 8王成琪,中华显微外科杂志,1995年,18卷,84页
  • 9钟世镇,中华显微外科杂志,1995年,18卷,82页
  • 10刘均墀,中华显微外科杂志,1989年,12卷,243页

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