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创伤性手指截肢的保守治疗,使用负压伤口治疗

Yasushi Mizutani¹, Susumu Tamai², Toshifumi Nakamura²

¹Orthopedic Clinic, Takita Hospital, Yamato-Kohriyama-Shi, Nara, Japan.

Journal of plastic surgery and hand surgery

|September 28, 2023

概括

负压伤口治疗 (NPWT) 为创伤性手指截肢提供了一种新的保守治疗方法,当再植入不可能时. 这种方法促进愈合,并恢复指尖的功能和外观.

科学领域:

手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
再生医学是一种再生医学.
伤口愈合伤口愈合

背景情况:

移植手指是截肢手指的主要治疗方法.
在创伤性指尖截肢的情况下,当再移植是不可行的时,选择包括片手术,干手术或保守带.
没有英语文献报告过负压伤口治疗 (NPWT) 在创伤性手指截肢时的使用.

研究的目的:

调查负压伤口治疗 (NPWT) 作为创伤性手指截肢的保守治疗的疗效.
评估NPWT在促进指尖损伤中的颗粒组织生长和上皮质化方面的潜力.
在指尖重建中评估NPWT的功能和美学结果.

主要方法:

一个案例系列的六个受伤的手指在五个病人创伤性指尖截肢不适合再植入.
适应负压伤口治疗 (NPWT) 装置用于手指截肢治疗,以保持手指的长度.
监测上皮质化时间,感官感知,运动范围,握力和患者满意度.

主要成果:

指尖的完整上皮质化平均在22.7天内实现.
感官知觉的初始轻微下降在3个月内得到了很好的恢复.
观察到不受限制的运动范围,保持握力,以及患者对指尖外观的高度满意度.
经过再生的指甲显示轻微的变形和缩短;没有出现并发症.

结论:

负压伤口疗法 (NPWT) 为创伤性手指截肢提供了一个可行的新保守治疗选择,在这种情况下,再移植是不可能的.
NPWT有助于快速愈合,良好的功能恢复,并为指尖重建提供令人满意的美学结果.
这种方法可能是传统方法的有价值的替代方案,促进组织再生和早期上皮质化.

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