RESEARCH AND APPLICATION OF MULTIPOINT CENTRALIZATION METHOD IN REMOVAL OF SMALL FOREIGN BODY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 LIQichao ¹ , CUIHaojie ¹ , ZHANGJinghua ² , BIANZhaohui ¹ , SUZhenchuan ¹ , ZHANGJiping ¹ , SHAOWenchai ¹

1. 华北石油总医院二部医院外科;
2. Department of Hand Surgery, People's Hospital of Renqiu City, Renqiu Hebei, 062550, P. R. China;

Corresponding author：

LIQichao, Email: liqichaoqxj@sohu.com

Keywords：

Multipoint centralization method; Foreign body removal surgery; Microsurgery

DOI：

10.7507/1002-1892.20140052

Video：

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Objective To introduce a new method to remove the small foreign body in the hand or foot, and to discuss its feasibility and effectiveness. Methods Between May 2007 and March 2012, 78 patients with small foreign bodies embedded in the soft tissue of the hand or foot were treated with the method. There were 51 males and 27 females, aged from 7 to 69 years with an average of 32.5 years. The hand, wrist, and foot were involved in 48, 6, and 24 cases respectively. Foreign body type included fiberglass (57 cases), thorn (11 cases), iron (5 cases), bamboo thorn (2 cases), fishbone (2 cases), and metal needles (1 case). The time between injury and operation was 30 minutes to 16 days (mean, 2.6 days). The position and range of the foreign body were defined using the multipoint centralization method before removal surgery. The skin was cut according multipoint connection for finding small foreign body under a microscope. Results All foreign bodies were successfully removed. The mean operation time was 6 minutes (range, 3-22 minutes). Healing of incision by first intention was obtained in all cases; no blood circulation disorders or infection occurred. All the patients were followed up 3 months-3 years (mean, 9 months). The distal limb had no feeling or movement disorders. Conclusion Removal of small foreign body in soft-tissue using multipoint centralization method is safe and effective.

Citation： LIQichao, CUIHaojie, ZHANGJinghua, BIANZhaohui, SUZhenchuan, ZHANGJiping, SHAOWenchai. RESEARCH AND APPLICATION OF MULTIPOINT CENTRALIZATION METHOD IN REMOVAL OF SMALL FOREIGN BODY. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(2): 241-243. doi: 10.7507/1002-1892.20140052 Copy

1.	向剑平,刘小林,顾立强,等.手和前臂高压注射性损伤的显微手术处理.中华显微外科杂志,2007,30(5):387-389.
2.	俞钻,姜超,张杰,等.四肢浅表金属异物存留手术取出20例临床体会.武警后勤学院学报:医学版,2013,22(3):218-220.
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7.	Nocturne G,Sellam J,Miquel A,et al.Is sarcoma a complication of arterial femoro-popliteal bypass? Joint Bone Spine,2010,77(4):358-360.
8.	田建峰.手指外伤性金属异物254例治疗体会.浙江创伤外科,2013,18(3):380-381.
9.	马而满.手指细小金属异物取出的临床体会.实用手外科杂志,2013,27(3):396-397.
10.	杨国峰,陈闽昌,邬江明.小切口取出指骨内金属异物(附215例报告).中国骨与关节损伤杂志,2012,27(3):275-276.
11.	钱鹤翔,郇金亮,邢光富,等.金属异物手术切开取出术与透视下钳取术疗效比较.中国医药,2012,7(7):863-865.
12.	王韬,李英才,张连阳,等.64层螺旋CT对深部金属异物的诊断价值.中华创伤杂志,2010,26(5):472-473.
13.	袁翠华,王旭,刘寿坤.电磁铁辅助磁性金属异物取出术28例体会.中国骨伤,2010,23(1):15-16.
14.	杨琴英.特殊器械装备磁铁在手外伤异物(铁器类)取出术中的应用.北方药学,2013,10(11):148-149.
15.	李俊,严艳.针灸针定位摘除软组织金属异物方法探讨.湖北中医杂志,2009,31(1):47-48.
16.	宓士军,马秀青,周广军,等.手部非显影异物的超声诊断与治疗.中华手外科杂志,2008,24(5):314.
17.	宋宁亚,刘列,张永刚,等.B型超声定位治疗四肢软组织内非金属异物.实用骨科杂志,2009,15(3):223-224.
18.	王启,徐俊刚.四肢异物手术治疗26例体会.浙江中西医结合杂志,2005,15(12):787.

1. 向剑平,刘小林,顾立强,等.手和前臂高压注射性损伤的显微手术处理.中华显微外科杂志,2007,30(5):387-389.
2. 俞钻,姜超,张杰,等.四肢浅表金属异物存留手术取出20例临床体会.武警后勤学院学报:医学版,2013,22(3):218-220.
3. 王丽俊,曾宪琴.清洁手术预防性使用抗菌药物调查分析.中华医院感染学杂志,2010,20(2):245-246.
4. Camp M,Chang DC,Zhang Y,et al.Risk factors and outcomes for foreign body left during a procedure:analysis of 413 incidents after 1 946 831 oporations in children.Arch Surg,2010,145(11):1085-1090.
5. Callegari L,Leonardi A,Bini A,et al.Ultrasound-guided removal of foreign bodies:personal experience.Eur Radiol,2009,19(5):1273-1279.
6. Ekici MA,Ekici A,Per H,et al.Foreign body granuloma mimicking upper cervical spinal mass after dural repair with Tachocomb:a case report.Pediatr Neurosurg,2010,46(2):133-137.
7. Nocturne G,Sellam J,Miquel A,et al.Is sarcoma a complication of arterial femoro-popliteal bypass? Joint Bone Spine,2010,77(4):358-360.
8. 田建峰.手指外伤性金属异物254例治疗体会.浙江创伤外科,2013,18(3):380-381.
9. 马而满.手指细小金属异物取出的临床体会.实用手外科杂志,2013,27(3):396-397.
10. 杨国峰,陈闽昌,邬江明.小切口取出指骨内金属异物(附215例报告).中国骨与关节损伤杂志,2012,27(3):275-276.
11. 钱鹤翔,郇金亮,邢光富,等.金属异物手术切开取出术与透视下钳取术疗效比较.中国医药,2012,7(7):863-865.
12. 王韬,李英才,张连阳,等.64层螺旋CT对深部金属异物的诊断价值.中华创伤杂志,2010,26(5):472-473.
13. 袁翠华,王旭,刘寿坤.电磁铁辅助磁性金属异物取出术28例体会.中国骨伤,2010,23(1):15-16.
14. 杨琴英.特殊器械装备磁铁在手外伤异物(铁器类)取出术中的应用.北方药学,2013,10(11):148-149.
15. 李俊,严艳.针灸针定位摘除软组织金属异物方法探讨.湖北中医杂志,2009,31(1):47-48.
16. 宓士军,马秀青,周广军,等.手部非显影异物的超声诊断与治疗.中华手外科杂志,2008,24(5):314.
17. 宋宁亚,刘列,张永刚,等.B型超声定位治疗四肢软组织内非金属异物.实用骨科杂志,2009,15(3):223-224.
18. 王启,徐俊刚.四肢异物手术治疗26例体会.浙江中西医结合杂志,2005,15(12):787.

Chinese Journal of Reparative and Reconstructive Surgery

RESEARCH AND APPLICATION OF MULTIPOINT CENTRALIZATION METHOD IN REMOVAL OF SMALL FOREIGN BODY

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