陈氏标准在断肢再植术后功能评价的研究进展

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随着显微外科技术的发展,断肢再植的术后评价从肢体的成活情况发展到肢体的功能恢复情况。1978年,陈中伟从工作能力、关节活动度、感觉恢复、肌力恢复情况等方面对术后肢体功能提出评价标准,在国际上被称为“陈氏标准”,至今仍然在国内、外使用。近年来有文献报道新的评价指标与方法,但尚未形成国际共识。本文总结相关文献进展,希望规范并推广断肢再植术后功能评价标准,为制定更完善的评价标准提供参考。“,”As continuous progressive improvement in microsurgery, the postoperative evaluation of severed limbs replantation has been developed from the survival to the functional recovery of replanted extremity. In 1978, Chen Zhongwei devised a system for the function evaluation of the replants, considering “the ability to work, range of motion, recovering of sensation, and recovering of muscle power”. This system was called “CHEN’s criteria” and it is still internationally used. In recent years, new parameters and measuring methods have been created without an agreed international standard. This article serves the purpose to offer a reference in the standardization and promotion of a practical standard for the postoperative functional evaluation of severed limb replantation.
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