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在完整的多指截肢中,对移植后死的危险因素的分析

Xingang Pang¹, Peng Xu¹, Yongjing Huang¹

¹Department of Hand Surgery, Wuxi No.9 People's Hospital Affiliated to Soochow University, Wuxi, 214000, China.

|November 24, 2025

概括

手术持续时间和截肢平面是影响多个手指移植生存的关键风险因素. 较长的手术和特定的截肢水平降低了复杂病例的成功率.

科学领域:

重建性手术是一种重建性手术.
微手术微手术是一种微手术.
创伤外科手术创伤外科

背景情况:

完全截肢的多个手指的移植带来了重大的外科手术挑战.
了解风险因素对于改善多指移植的结果至关重要.
患者存活率和手指存活率是评估移植成功的关键指标.

研究的目的:

识别和总结影响复植后多指的存活率的关键风险因素.
分析各种手术和受伤相关因素对再植入结果的影响.

主要方法:

对201名接受多指移植手术 (650根手指) 的患者进行了回顾性分析.
将患者和手指分为存活率,部分存活率和死组.
单变量和多变量物流分析以确定重大风险因素.

主要成果:

较长的手术持续时间与较低的存活率相关 (部分存活:381.4分钟;亡:401.9分钟与存活:321.5分钟).
重植生存率因区域而异 (区域3:84.2%与84.2%对比. 第4区: 77.1%).
手术持续时间和截肢平面被确定为重植存活的显著风险因素.

结论:

手术持续时间和截肢平面是多指移植成功的重要预测因素.
外科医生的疲劳可能会影响决策,可能会影响结果;充分休息的条件可能有利于更积极的保存策略.

关键词:

完整的多指截肢截肢.多指复植复植是多指复植的一个方法.风险因素风险因素

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