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目的 研究前臂完全离断再植术后功能恢复情况,明确术后康复重点.方法 对2009年9月至2012年10月在我院成功行断臂再植患者13例进行术后功能评估,包括上肢功能评定表(DASH)、视觉模拟评分(VAS)、手部关节活动度、抓握力量等.结果 患者对外形的满意率是76.92％,对功能的满意率是84.62％,前臂及手部关节活动明显受限,力量明显减弱,手功能受限,冷热觉及痛觉恢复.结论 患肢能够完成基本简单的日常活动,断臂再植术意义较大.术后康复重点应注重改善外观,加强内在肌训练和刺激,提高手部肌力.“,”Objective To analyze the long-term functional outcomes of patients with forearm replantation and determine the key points of postoperative rehabilitation.Methods Successful replantation of completely amputated forearm was carried out in 13 patients between September 2009 and October 2012.Postoperative functions were evaluated using the Disabihties of the Arm,Shoulder and Hand (DASH) score,visual analogue scale (VAS) of pain,range of motion (ROM) of the forearm and hand,and grip strength of the hand.Results 76.92％ of the patients were satisfied with the appearance of the replanted limbs,while 84.62％ were satisfied with their functions.ROM of forearm and hand joints was significantly limited as was hand function.There was great reduction in grip strength.All the patients recovered sensations of cold-warm and pain.Conclusion Replantation of completely amputated forearm is meaningful in that the replanted limbs are useful in carrying out activities of daily living.Postoperative rehabilitation regimen should focus on improving appearance,stimulating and strengthening intrinsic muscles and increasing hand strength.