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. 華北石油總醫院二部醫院外科;
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.	向劍平,劉小林,顧立強,等.手和前臂高壓注射性損傷的顯微手術處理.中華顯微外科雜志,2007,30(5):387-389.
2.	俞鉆,姜超,張杰,等.四肢淺表金屬異物存留手術取出20例臨床體會.武警后勤學院學報:醫學版,2013,22(3):218-220.
3.	王麗俊,曾憲琴.清潔手術預防性使用抗菌藥物調查分析.中華醫院感染學雜志,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.手指外傷性金屬異物254例治療體會.浙江創傷外科,2013,18(3):380-381.
9.	馬而滿.手指細小金屬異物取出的臨床體會.實用手外科雜志,2013,27(3):396-397.
10.	楊國峰,陳閩昌,鄔江明.小切口取出指骨內金屬異物(附215例報告).中國骨與關節損傷雜志,2012,27(3):275-276.
11.	錢鶴翔,郇金亮,邢光富,等.金屬異物手術切開取出術與透視下鉗取術療效比較.中國醫藥,2012,7(7):863-865.
12.	王韜,李英才,張連陽,等.64層螺旋CT對深部金屬異物的診斷價值.中華創傷雜志,2010,26(5):472-473.
13.	袁翠華,王旭,劉壽坤.電磁鐵輔助磁性金屬異物取出術28例體會.中國骨傷,2010,23(1):15-16.
14.	楊琴英.特殊器械裝備磁鐵在手外傷異物(鐵器類)取出術中的應用.北方藥學,2013,10(11):148-149.
15.	李俊,嚴艷.針灸針定位摘除軟組織金屬異物方法探討.湖北中醫雜志,2009,31(1):47-48.
16.	宓士軍,馬秀青,周廣軍,等.手部非顯影異物的超聲診斷與治療.中華手外科雜志,2008,24(5):314.
17.	宋寧亞,劉列,張永剛,等.B型超聲定位治療四肢軟組織內非金屬異物.實用骨科雜志,2009,15(3):223-224.
18.	王啟,徐俊剛.四肢異物手術治療26例體會.浙江中西醫結合雜志,2005,15(12):787.

1. 向劍平,劉小林,顧立強,等.手和前臂高壓注射性損傷的顯微手術處理.中華顯微外科雜志,2007,30(5):387-389.
2. 俞鉆,姜超,張杰,等.四肢淺表金屬異物存留手術取出20例臨床體會.武警后勤學院學報:醫學版,2013,22(3):218-220.
3. 王麗俊,曾憲琴.清潔手術預防性使用抗菌藥物調查分析.中華醫院感染學雜志,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.手指外傷性金屬異物254例治療體會.浙江創傷外科,2013,18(3):380-381.
9. 馬而滿.手指細小金屬異物取出的臨床體會.實用手外科雜志,2013,27(3):396-397.
10. 楊國峰,陳閩昌,鄔江明.小切口取出指骨內金屬異物(附215例報告).中國骨與關節損傷雜志,2012,27(3):275-276.
11. 錢鶴翔,郇金亮,邢光富,等.金屬異物手術切開取出術與透視下鉗取術療效比較.中國醫藥,2012,7(7):863-865.
12. 王韜,李英才,張連陽,等.64層螺旋CT對深部金屬異物的診斷價值.中華創傷雜志,2010,26(5):472-473.
13. 袁翠華,王旭,劉壽坤.電磁鐵輔助磁性金屬異物取出術28例體會.中國骨傷,2010,23(1):15-16.
14. 楊琴英.特殊器械裝備磁鐵在手外傷異物(鐵器類)取出術中的應用.北方藥學,2013,10(11):148-149.
15. 李俊,嚴艷.針灸針定位摘除軟組織金屬異物方法探討.湖北中醫雜志,2009,31(1):47-48.
16. 宓士軍,馬秀青,周廣軍,等.手部非顯影異物的超聲診斷與治療.中華手外科雜志,2008,24(5):314.
17. 宋寧亞,劉列,張永剛,等.B型超聲定位治療四肢軟組織內非金屬異物.實用骨科雜志,2009,15(3):223-224.
18. 王啟,徐俊剛.四肢異物手術治療26例體會.浙江中西醫結合雜志,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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