66 cases of upper extremity degloving injury of micro-analysis of the clinical effect of surgical treatment.docVIP

 PAGE \* MERGEFORMAT 8 66 cases of upper extremity degloving injury of micro-analysis of the clinical effect of surgical treatment [Keywords:] upper extremity degloving injury of micro-surgery As the economic development of handicraft industry, there has been a large number of upper extremity trauma patients, but in such a trauma, skin degloving injury is a relatively difficult to treat diseases, according to the traditional experience of the treatment, the patient left the larger disability. This study of 166 cases of upper extremity degloving injury to the clinical microscopy repair, can achieve satisfactory effect. Are reported below. 1 Data and methods 1.1 General Information Select from February 2000 to October 2006, Ningbo Sixth People’s Hospital admitted 166 cases of upper extremity degloving injury of patients, all patients were sampled for skin avulsion in the subcutaneous layer of deep fascia, superficial dermal sampling is notRange . 118 cases were male, female 48 cases, aged 18 to 48 years old, mean age (24.21 ± 2.31) years, and 86 cases of injury belt roll, roller-drum roll injury 46 cases, 24 cases of injury rolling dough machine, other 10 cases , the damage site for the forearms and hands, skin avulsion in size from 3cm * 4cm ~ 15cm * 20cm. 1.2 in brachial plexus anesthesia in surgical tourniquet to stop bleeding with pressure, fully exposed to the wound, debridement, topical 0.9% hydrogen peroxide and sodium chloride injection, after repeated washing the wound, according to the skin avulsion injury of the organization of the extent and depth of avulsion carried out a different repair: 119 cases of avulsion of skin integrity, and the organization of shallow depth of the deep fascia, which means the palm of your hand with the Ministry of artery rupture in 76 cases, using arterial anastomosis under a microscope (which will take a forearm defect associated with vein graft repair artery), while fracture of the nerve anastomosis; 43 cases of avu