斷指再接植手術後功能恢復的評估

Functional Results of Digital Replantation and Revascularization

謝式洲(Shyh-Jou Shieh) ； 邱浩遠(Haw-Yen Chiu) ； 李經維(Jing-Wei Lee) ； 薛澤傑(Tse-Chieh Hsueh) ； 徐秀雲(Hsiu-Yun Hsu)

《中華民國重建整形外科醫學會雜誌》 3卷1期 (1994/03) Pp. 4-11

https://doi.org/10.7096/JPRSA.199403.0004

摘要

近二十餘年來，由於顯微手術的進步，以顯微再接植手術來重建斷指，已成為一優先考慮的方法。成大醫院整形外科統計自1990年8月至1992年8月兩年間接受斷指再接植手術的病例，共63位病患，96根斷指，其中有87根存活，9根失敗，存活率達90.6%，而接植存活之斷指功能恢復的評估方面，在61根已接受功能恢復評估的再接植斷指中，功能在”good”以上的有96.7%。隨著再接經驗的累積，及動物實驗的顯微手術訓練之要求下，再接植的手指有較高的存活率；同時，在嚴格適應症的篩選下，加上完整的術後復健，以及病患的配合，存活手指功能的恢復也較以往的報告優良。

關鍵字

斷指再接植 ； 功能恢復評估

並列摘要

We reviewed sixty-three patients with digital replantation and revascularization, involving 96 digits, performed at National Cheng-Kung University Hospital from August, 1990 to August, 1992. The overall success rate of digital replantation and revascularization in this series is 90.6% (96 digits were replanted or revascularized, 87 digits have survived). 61 digits were followed up for more than 6 months to complete a functional evaluation by Tamai's scoring system. Of 61 digits, 59 (96.7%) have achieved good to excellent functional results.
We feel that the improvement of survival and functional result are due to careful selection of patients, meticulous replantation technique and aggressive postoperative rehabilitation.

並列關鍵字

digital replantation ； functional evaluation