Treatment of a degloved hand injury by arteriovenous anastomosis: a case report.
Treatment of a degloved hand injury by arteriovenous anastomosis: a case report.
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动静脉吻合术治疗脱手套手部损伤：病例报告。
DOI：
10.1097/00000637-199708000-00010
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发表时间：
1997
影响因子：
1.5
通讯作者：
M. Nozaki
中科院分区：
文献类型：
--
作者：
M. Takeuchi;K. Sasaki;M. Nozaki
不用说，修复脱套伤的最佳治疗方法是使用撕脱的组织。然而，很难评估撕脱组织的循环和活力，并且在保守治疗的情况下，撕脱组织坏死是很常见的。这往往需要第二次重建手术。我们报告一例手部皮肤脱套伤。我们将撕脱皮瓣的浅静脉与桡动脉的手部浅静脉进行动静脉吻合重建。因此，我们能够动脉化和挽救撕脱皮瓣的背部和手掌，结果是美容和功能满意。
It goes without saying that the optimal therapy for reconstruction of degloving injuries is to employ the tissues that were avulsed. However, it is difficult to evaluate the circulation and viability of avulsed tissues, and in the case of conservative treatment it is quite common for the avulsed tissues to become necrotic. This often necessitates a second reconstructive operation. We report a case of degloving injury of the hand. We performed reconstruction by arteriovenous anastomosis of a superficial vein in the avulsed skin flap and a superficial vein of the hand with the radial artery. We were thereby able to arterialize and salvage the avulsed skin flap on the back and palm of the hand, and the results were cosmetically and functionally satisfactory.