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https://doi.org/10.3760/cma.j.issn.1005-054x.2006.01.014
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Cite Journal: Chinese Journal of Hand Surgery |  Publication Date: Feb 10, 2006 |
目的 探讨手掌严重碾挫伤应用血管移植手术方法的选择.方法对12例手掌碾挫伤伴血管损伤的患者,采用树枝状浅表静脉倒转后多级移植修复缺损的手掌动脉,同时对缺损皮肤一期行植皮或皮瓣修复.结果术后12例创面全部Ⅰ期愈合,手指血循环好.术后随访3～22个月,手功能评定[1]:优5例,良4例,可2例,差1例,优良率为75%.手掌恢复了良好的外形和功能,能完成手指的捏、握、对掌和对指功能.结论对严重的手掌毁损伤,利用树枝状静脉移植修复缺损的血管,能获得较好的手功能和外形。
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