30例手指皮肤脱套伤再植术后随访结果及其评价

发布时间：2018-03-20 21:10

本文选题：再植术　切入点：脱套伤　出处：《扬州大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：评价应用再植术治疗手指皮肤脱套伤的临床疗效。方法：自2014年1月到2015年1月对我院从2005年至2012年共30例选用再植术治疗手指皮肤脱套伤患者进行随访,未出现失访。根据指别和脱套平面不同,将患者分为Ⅰ度脱套伤组(11例14指)、Ⅱ度脱套伤组(16例25指)和拇指脱套伤组(3例3指)。3组均应用中华手外科学会断指再植功能评定试用标准和MHQ手功能评价标准,分别对患者术后手功能进行客观及主观评价。结果：根据中华医学会手外科学会断指再植功能评定试用标准评定,30例手指脱套伤患者术后恢复优良率达93.3%,其中Ⅰ度皮肤脱套伤术后恢复优良率达100%,Ⅱ度皮肤脱套伤术后恢复优良率87.5%,拇指皮肤脱套伤术后恢复优良率100%。根据MHQ手功能评价标准,患者平均得分89.83,患者对术后恢复结果较为满意。结论：运用再植治疗手指脱套伤,修复的手指可最大限度的恢复外形和功能。患者对术后恢复的满意程度较高。
[Abstract]:Objective: to evaluate the clinical efficacy of replantation in the treatment of finger skin degloving injury. Methods: from January 2014 to January 2015, 30 patients with finger skin degloving injury were followed up from 2005 to 2005 in our hospital. There was no missing visit. According to the difference between the different points and the missing plane, The patients were divided into 11 cases (14 fingers), 16 cases (25 fingers) and 3 cases (3 fingers) in the first degree degloving injury group and 16 cases (25 fingers) in the first degree exfoliation injury group. The evaluation criteria of replantation function of the severed finger and MHQ hand function evaluation standard were used in the group of 3 fingers and 3 fingers from the Chinese Society of hand surgery. Results: according to the evaluation standard of the replantation function of the amputated finger of the Chinese medical association, the excellent and good rate of postoperative recovery of 30 patients with finger degloving injury was 93. 3%. The excellent and good rate of postoperative recovery was 100%, 87.5% and 100%, respectively. According to MHQ's hand function evaluation standard, the excellent and good rate was 100% after skin degumming injury, 87.5% after second degree skin degumming injury, and 100% good rate after thumb skin degloving injury, according to the evaluation standard of hand function of MHQ. The average score of the patients was 89.83, and the patients were satisfied with the results of postoperative recovery. Conclusion: the repaired fingers can recover their appearance and function to the maximum extent by using replantation.
【学位授予单位】：扬州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R658.2

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