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对手部组织缺陷进行重建和修复干预的战略

A Borzykh¹, A M Laksha², N Borzykh³

¹1National Military Medical Clinical Center «Main Military Clinical Hospital», Kyiv, Ukraine.

Georgian medical news

|July 7, 2023

概括

使用旋转片的重建手术有效地治疗枪伤手部带有组织缺陷的伤口,改善解剖和功能结果. 这一策略确保了复杂的手部受伤患者的更好的长期结果.

科学领域:

创伤外科手术创伤外科
手术手术手术手术手术
重建性手术是一种重建性手术.

背景情况:

手部的枪伤经常导致显著的软组织缺陷.
有效的重建策略对于恢复手部功能和解剖学至关重要.

研究的目的:

开发和评估手枪伤口与组织缺陷重建干预的战略.
为了改善手术修复后的解剖和功能结果.

主要方法:

对39名患者 (2019-2020年) 的软组织缺陷进行42次形手术的回顾性分析.
使用的辐射片 (36%),旋转背部前臂片 (36%),和岛屿神经血管片 (28%).
在手术后3个月和1年使用手臂,肩膀和手的残疾 (DASH) 尺度评估结果.

主要成果:

转移表现出良好的功能结果,平均DASH分数为32.0 (3个月) 和29.4 (1年).
成功重建软组织缺陷,从而改善了患者的功能.

结论:

涉及初级/重复手术治疗和早期缺陷关闭的策略是管理枪伤手伤的关键.
护的选择应以伤口缺陷特征 (位置,大小,深度) 为指导.
旋转片提供了一个可行的选择,在枪伤后手部重建中实现有利的功能结果.

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