【摘 要】
：
目的探讨多肢体离断伤再植的手术方法和功能康复.方法本组11例2～3个肢体离断伤患者,分组同时进行断肢再植手术.断肢彻底清创,骨骼缩短不超过3cm,双踝离断采用等长短缩.骨断端
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目的探讨多肢体离断伤再植的手术方法和功能康复.方法本组11例2～3个肢体离断伤患者,分组同时进行断肢再植手术.断肢彻底清创,骨骼缩短不超过3cm,双踝离断采用等长短缩.骨断端采用钢板螺丝钉或克氏针固定,屈肌腱采用Kessler法修复,伸肌腱行双8字法缝合,各断肢吻合动、静脉比例为2:6～8,离断神经均采用外膜缝合法吻合修复.再植双腕完全离断8例,双踝完全离断1例,左腕完全离断、右踝和左小腿不完全离断1例,左腕及双踝不完全离断1例. 结果 11例24个肢体离断,全部再植成活.术后随访1.5～5年,功能恢复良好. 结论迅速建立有效静脉通道、合理的人员组合、多数量的血管吻合和早期功能锻炼是提高断肢再植成活率及功能康复的重要因素.
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