按摩疗法治疗断指再植术后超1个月发生的迟发性动脉痉挛
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1.中国人民武装警察部队海警总队医院手足显微外科;2.浙江新安国际医院

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浙江省嘉兴市科学技术局科技研究计划项目(2018AD32173)


Massage therapy for delayed arterial spasm occurring more than 1 month after severed fingers replantation
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Affiliation:

1.Department of Hand &2.Foot Microsurgery, China Coast Guard Hospital of the People'3.'4.s Armed Police Force;5.Department of Orthopaedics,Xin′an International Hospital of Zhejiang

Fund Project:

Science and Technology Research Project of Jiaxing Science and Technology Bureau, Zhejiang Province(2018AD32173)

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    摘要:

    [目的] 探讨应用指根按摩疗法治疗断指再植手术后1~3个月发生的迟发性动脉血管痉挛的临床疗效。[方法] 自2008年3月至2018年6月,应用患指指根按摩方法治疗断指再植术后1~3个月发生的迟发性动脉血管痉挛动脉痉挛患者5例,男4例,女1例,年龄分别为年龄分别为28~46岁,平均39岁。车祸伤1例,机器挤压伤4例。均行断指再植手术,术后于32~73天出现再植指体迟发性动脉痉挛,均立即来院就诊,应用患指指根按摩方法治疗,门诊定期随访。[结果] 本组5例患者经过指根按摩后,症状均得到缓解,指端颜色由苍白或灰暗转为红润。分别随访8个月~9年,平均39个月,再植手指均未再次出现动脉痉挛情况,患指骨折愈合,外观恢复良好,手指屈伸功能良好,指体痛觉、温度觉恢复良好,手指指端两点辨别觉为4~8mm,平均6mm,恢复正常生活及原来所从事的工作。依据中华医学会手外科分会断指再植功能评定标准进行疗效评定:优3例,良2例。[结论] 应用指根按摩疗法治疗断指再植术后1~3个月发生的迟发性动脉血管痉挛的一种行之有效的方法,值得推广应用。

    Abstract:

    Abstract:[Objective] To explore the clinical effect of finger roots massage for delayed arterial spasm 1~3 months after severed fingers replantation. [Methods] A total of 5 patients with delayed arterial spasm 1~3 months after severed fingers replantation from March 2008 to June 2018 were treated with finger toots massage. There were 4 males and 1 female. The average age was 39 years old, ranging from 28 to 46. There were 1 case of car accident injury and 4 cases of machine crush injury. All patients underwent severed fingers replantation. And delayed arterial spasm was found 32 to 73 days after surgery. All patients immediately visited the hospital. And they were treated with finger roots massage. Regular follow-up was conducted at the clinic. [Results] The symptoms were alleviated after finger root massage in all 5 cases, and the fingertip color had turned rosy from pale or gray. The patients were followed up for 8 months to 9 years, with an average length of 39 months. There was no recurrence of arterial spasm in the replanted fingers. The fractures were healed and the appearance recovered well. The flexion and extension function of fingers were good. The sense of pain and temperature of the fingers recovered well. The two-points discrimination is 4 to 8 mm at the finger tips, with an average of 6 mm. All patient resumed their normal lives and work. According to the finger replantation function assess criteria of Chinese Medical Association Hand Surgery Branch, 3 patients had excellent results and 2 had good results. [Conclusion] Finger roots massage is an effective therapeutic approach for delayed arterial spasm 1~3 months after severed fingers replantation, which is worth of popularization.

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  • 收稿日期:2020-02-27
  • 最后修改日期:2020-06-05
  • 录用日期:2020-06-12
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