断指再植后的恢复如何 郭秀生 山西省人民医院 скачать в хорошем качестве

断指再植后的恢复如何 郭秀生 山西省人民医院

断指再植后的恢复如何 郭秀生 山西省人民医院 影响断指再植恢复的因素有很多，最常见的就是断指的平面，比如指头越靠近近端，它的血管越粗，越靠近远端血管越细，所以吻合起来越靠远端的血管吻合起来比较困难，但是因为它越靠远端，关节比较少，所以它越靠远端吻合起来困难。假如成活恢复的效果好，还有一个就是损伤的程度，它损伤的原因不一样恢复起来的效果也不一样，比如刀或电锯伤，它的创面比较整齐，软组织局部损伤不重，它成活机会多，而且成活以后粘连、疤痕形成的机会也少，所以它功能要好，假如是撕脱伤或碾压伤离断或爆炸伤离断，周围软组织条件比较差，血管有可能创伤严重，有的时候就不能再植，即使再植成功，因为它粘连、出血、渗出原因，所以它的功能也不一定很好。 How to recover after replantation of severed fingers There are many factors that affect the replantation of severed fingers, The most common is the plane of broken fingers, For example, the closer your fingers get to the near end, The thicker its blood vessels are, The closer it is to the distal end, the thinner it is, So it's more difficult to anastomose the distal vessels, But because the farther it gets, Fewer joints, So the more distal it is, the more difficult it is to anastomose. If the effect of survival recovery is good, The other is the extent of the damage, The cause of its damage is different, and the effect of its recovery is different, Like a knife or a chainsaw, Its wound is relatively neat, Local soft tissue damage is not serious, It has many chances to survive, And the chance of adhesion and scar formation after survival is less, So its function is good, In case of avulsion injury or crushing injury or explosion injury, The surrounding soft tissue condition is poor, Blood vessels may be severely injured, Sometimes it can't be replanted, Even if replantation is successful, Because of its adhesion, bleeding and exudation, So its function is not necessarily very good.