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目的探讨小儿上肢撕脱性断离后,予断肢再植后肢体的功能恢复情况。方法对3例上肢撕脱性断离的患儿进行了断肢再植。再植手术按显微外科程序进行,吻合动静脉比例1:1.5,断离神经视情况进行外膜缝合、端侧吻合以及神经植入的方法修复,对关节周围撕脱的肌肉止点进行了重建。结果再植3肢全部成活,按中华医学会上肢部分功能评定标准,1例优,1例良,另1例术后15个月尚不能做出评定结论。结论小儿撕脱性断肢进行再植术后组织修复快,功能恢复好,应力争积极再植。
Objective To investigate the functional recovery of limbs after replantation of limbs in children with avulsion of upper limbs. Methods Replantation of severed limbs was performed in 3 children with avulsion of upper limbs. The replantation procedure was performed according to the microsurgical procedure. The ratio of arteriovenous anastomosis was 1: 1.5. The denervated nerve was sutured, the anastomosis and the nerve implantation were performed according to the circumstance. reconstruction. Results The 3 limbs all survived replantation. According to the functional criteria of upper limbs of the Chinese Medical Association, 1 case was excellent, 1 case was good, and the other 1 case was not able to make a conclusion after 15 months. Conclusions Tissue avulsion amputation replantation of tissue repair fast, functional recovery, should strive to positive replantation.