【摘要】 本组治疗14例伴有神经、肌腱和血管同时横断伤的严重腕掌部切割伤患者,结果满意。肌腱采用Kessler或双十字法缝合,受损肌腱Ⅰ期对端缝合。神经采用束膜外膜法。尺、挠动脉损伤尽可能对端吻合,血管缺损可行静脉移植修复。更多还原

【Abstract】 Fourteen cases of severe incised wound of the palm and wrist associated with the transection of nerves, tendons, and vessels have been treated satisfactorily. Paramount importance for achieving the good results are claimed related to thorough debridment, proper repair of the injuried structures and early exercise after operation. End to end primary suture of injuried tendons with Kessler’s method or double cross method, and repair of injuried nerves by the method of perineurial and epineurial suture are essential. The functional recovery of median nerve was found better than that of the ulnar nerve. It was proved appropriate that injuried ulnar and radial artery should be anastomosed with end to end suture, and vessel defects reconstructed with vein grafts.更多还原