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find Author "陈广先" 2 results
  • DEVELOPMENT AND CLINICAL APPLICATION OF MEDICAL HEAT PRESERVATION DEVICE USED IN HAND SURGERY

    ObjectiveTo introduce a new medical heat preservation device, and to explore the application value and effectiveness in replantation of severed fingers. MethodsThe medical heat preservation device was design, water was used as the heating medium, and temperature was set and controlled by microcomputer. Between November 2010 and January 2014, 421 cases undergoing replantation of severed fingers were divided into 2 groups. Within 9 days after operation, the medical heat preservation device was used in 210 cases (experimental group), and the conventional heat lamp was used in 211 cases (control group). There was no significant difference in gender, age, injury cause, the interval between injury and admission, injury finger side, and operation time between 2 groups (P>0.05). The vascular crisis rate, success rate of replantation of severed fingers, comfort, sleep quality, and the influence on roommates were compared. ResultsThe comfort and the influence on roommates were good in 188 cases (89.52%) and 201 cases (95.71%) in the experimental group, which were significantly higher than those in the control group (25/211, 11.85%; 145/211, 68.72%). According to Pittsburgh sleep quality index (PSQI) for sleep quality, the results were good in 105 cases, fair in 85 cases, and poor in 20 cases in the experimental group; the results were good in 45 cases, fair in 95 cases, and poor in 71 cases in the control group. Blood vessel crisis occurred in 35 cases (16.67%) of the experimental group, which was significantly lower than that in the control group (76/211, 36.02%) (P<0.05). The survival rate of replantation in the experimental group (196/210, 93.3%) was significantly higher than that in the control group (181/211, 85.78%) (P<0.05). Significant differences were found between 2 groups (P<0.05) in above indexs. ConclusionMedical heat preservation device for replantation of severed fingers can improve the comfortable degree of patients and the quality of sleep, increase the survival rate of finger replantation, and reduce the occurrence of vascular crisis after operation.

    Release date:2016-08-25 10:18 Export PDF Favorites Scan
  • Flow-through 前臂静脉皮瓣结合静脉移位在拇指旋转撕脱离断伤再植中的应用

    目的总结应用 flow-through 前臂静脉皮瓣结合掌骨头间静脉移位修复伴有断端背侧皮肤及静脉组织缺损的拇指旋转撕脱离断伤的疗效。方法2013 年 4 月—2018 年 3 月,收治 15 例伴有断端背侧皮肤及静脉组织缺损的拇指旋转撕脱离断伤患者。男 12 例,女 3 例;年龄 18~54 岁,平均 34 岁。均为完全离断,拇指掌指关节离断 7 例,近节指骨离断 5 例,指间关节离断 3 例。均伴有断指背侧皮肤及静脉组织缺损,断指背侧皮肤缺损范围为 2.0 cm×1.5 cm~2.5 cm×2.0 cm。受伤至手术时间 0.5~3 h,平均 1.5 h。应用 flow-through 前臂静脉皮瓣结合第 2、3 掌骨头间静脉移位逆行桥接修复再植;应用手背“>”形单切口同时转移示指固有伸肌腱、桡神经感觉支修复肌腱和神经。结果15 例再植指及皮瓣全部成活;3 例皮瓣术后肿胀瘀血,有张力性水疱,结痂换药后成活。全部患者均获随访,随访时间 4~18 个月,平均 8.7 个月。再植指及皮瓣血运良好,拇指外形饱满,两点辨别觉达 5.3~6.5 mm;再植指对掌对指功能好,全部患者均在骨折愈合后恢复工作。末次随访时根据中华医学会手外科学会上肢部分功能评定试用标准评定再植指功能:优 9 例,良 5 例,可 1 例。结论对于伴有近端软组织及静脉缺损的拇指旋转撕脱离断伤,应用 flow-through 前臂静脉皮瓣结合掌骨头间静脉移位的方法进行再植,可取得较好疗效。

    Release date:2019-05-06 04:46 Export PDF Favorites Scan
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