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两例不同平面异体双手移植临床随访比较研究

A comparative report of the curative effects of 2 cases’ both hands allotransplantation at different levels

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【作者】 杨成林毕郑钢张信英于钟毓邵明张震宇张军曹杨付春江

【Author】 YANG Cheng-lin BI Zheng-gang ZHANG Xin-ying. Department of Orthopeadic Surgery,The first Affiliated Hospital of Harbin Medical University,Harbin 150001

【机构】 哈尔滨医科大学附属第一医院骨科

【摘要】 目的:探讨比较两例不同平面异体双手移植术后疗效。方法:应用显微外科技术对两例于前臂不同平面双手创伤性缺失的患者行异体双手移植,术前、术中及术后一体化康复治疗,随访17~36个月。结果:两例患者术后疗效均达优良;然而从功能、感觉、外形等方面综合评价,前臂近1/3平面移植双手优于前臂远1/4平面移植双手。结论:医生经验积累和患者主观能动性充分发挥将有助于移植手良好功能的恢复。

【Abstract】 Objective:To study and compare the curative effects of 2 cases’ both hands allotrans- plantation at different levels.Method:Both hands allograft was applied to 2 patients with both hands traumatic defect at different levels,which was intervened with the integrative rehabilitation program be- ing composed of the pre-and post-operational rehabilitation.The 2 cases were followed up for 17~36 months.Resuh:The curative effects of 2 cases postoperatively was fine or good.However,the effects of the patient at the proximal 1/3 of forearm is superior to that of the other one at the distal 1/4 of fore- arm by means of comprehensive assessment including function,sensation,appearance,and so on.Conclusion:The experiences of surgeons and the indomitable spirit of the patients will contribute to the excellent restoration of allograft hands.

【关键词】 异体移植手缺失
【Key words】 HandAllotransplantationHand defect
  • 【会议录名称】 第二届海峡两岸矫形外科学术研讨会论文集
  • 【会议名称】第二届海峡两岸矫形外科学术研讨会
  • 【会议时间】2004-08
  • 【会议地点】中国黑龙江哈尔滨
  • 【分类号】R658
  • 【主办单位】《中国矫形外科杂志》编委会、哈尔滨医科大学、解放军第二一一医院、高雄博正医院
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