<p>中国外科医生成功进行了世界首例将患者撕裂的耳朵移植到脚上再重新安置的手术。\n 这名女性的耳朵在四月份的一次工作事故中被撕掉，事故还导致她的大部分头皮被撕裂，医疗新闻平台 Med-J 周一报道。\n 济南山东省医院显微外科副主任邱申强表示，这名女性的伤势是由重型机械造成的，留下了危及生命的伤害。\n 头皮、颈部和面部皮肤被撕裂并 “分裂成多个碎片”，而耳朵则 “与头皮完全分离”。\n 当这名女性到达医院时，手足及重建显微外科团队立即尝试使用标准方法修复头皮。\n 但事故对她的头皮组织和血管网络造成的严重损伤使得这种方法失败。\n 这意味着团队在头骨组织愈合之前无法重新连接耳朵，迫使团队寻找保持耳朵存活的方法，直到可以重新连接。\n 邱的团队最终决定将耳朵移植到她的脚背上，然后进行为期数月的恢复和重建过程。\n 外科医生表示，他们做出这个决定是因为脚部的动脉和静脉口径合适，与耳朵的血管高度兼容。\n 脚部的皮肤和软组织也与头部的相似，移植后需要的调整最小。\n 这一高度复杂的手术没有先例或成功案例可供借鉴。\n 根据报道，将耳朵移植到脚上的初步步骤耗时 10 小时。一个挑战在于耳朵的血管极其细小，直径仅为 0.2-0.3 毫米，需要高超的技术和丰富的显微外科经验才能将其连接起来，邱说。\n 手术后五天，团队遇到了另一个关键情况，心脏血液循环出现问题，称为静脉回流，阻碍了耳朵的血液供应，使其变成紫黑色。\n 为了挽救耳朵，团队不得不采用繁琐的手动放血技术，五天内进行了约 500 次操作。\n 与此同时，团队通过将从患者腹部取的皮肤移植到头部来恢复患者的头皮。\n\n\n 五个多月后，移植的头皮和颈部皮肤愈合，肿胀消退，耳朵和脚部的手术部位完全愈合，医疗团队能够将耳朵重新安置。\n 在十月份，邱领导的团队成功进行了这项六小时的手术，创造了全球先例。\n 这名仅以姓氏孙识别的患者现在已出院，她的面部和组织功能基本恢复。\n 她仍需进行几次相对较小的手术，包括恢复缺失的眉毛和减少脚部的疤痕。</p>

<p>中国外科医生在一起工作事故后，首次将一个撕裂的耳朵移植到患者的脚上。该手术由山东省医院的邱申强主刀，由于头皮受伤严重，手术涉及复杂的显微外科技术。经过几个月的恢复，耳朵成功再植，创造了全球先例。患者孙某已基本康复，但仍需进行小规模的后续手术</p>

<p>Chinese surgeons have performed the world’s first operation to graft a patient’s torn-off ear onto her foot before putting it back in place.\nThe woman’s ear was torn off in a workplace accident in April that also ripped away a large part of her scalp, medical news platform Med-J reported on Monday.\nQiu Shenqiang, deputy director of the microsurgery unit at Shandong Provincial Hospital in Jinan, said the woman’s injuries had been caused by heavy machinery and left her with life-threatening injuries.\nThe scalp, neck and facial skin had been torn and “split into multiple fragments” while the ear had been “completely severed along with the scalp”.\nWhen the woman arrived at the hospital, its hand, foot and reconstructive microsurgery team immediately tried to repair the scalp using standard methods.\nBut the severe damage the accident had caused to her scalp tissue and vascular network meant that this approach failed.\nThis meant that the team were unable to reattach the ear until the skull tissue had healed, forcing the team to look for ways to keep the ear alive until it was ready to be reattached.\nQiu’s team ultimately decided to graft the ear onto the top of her foot before undertaking a months-long process of recovery and reconstruction.\nThe surgeon said that they had made this decision because the arteries and veins in the foot were of a suitable calibre and highly compatible with those of the ear.\nIts skin and soft tissue are also of a similar thinness to those found on the head, requiring minimal adjustment after the transplant.\nThis highly complex procedure had no precedent or documented successful cases to draw upon.\nThe initial step of grafting the ear onto the foot took 10 hours, according to the report. One challenge lay in the ear’s exceptionally fine blood vessels, measuring merely 0.2–0.3mm in diameter, which required a high degree of skill and extensive microsurgery experience to connect them together, Qiu said.\nFive days after the operation, the team encountered another critical situation when problems with the circulation of blood to the heart, a condition known as venous reflux, obstructed the supply to the ear, turning it a purplish-black colour.\nTo save it, the team had to resort to the laborious technique of manual bloodletting, which required around 500 applications over five days.\nMeanwhile, the team restored the patient’s scalp by grafting skin taken from her stomach onto her head.\n\n\nMore than five months later, after the transplanted scalp and neck skin had healed, the swelling had subsided and the surgical sites on the ear and foot had fully closed, the medical team were able to put the ear back in place.\nIn October, the team led by Qiu successfully performed this six-hour procedure, setting a global precedent.\nThe patient, identified only by the surname Sun, has now left hospital and her face and tissue function have now largely recovered.\nShe still faces a few more relatively minor operations, including restoring her missing eyebrows and reducing scarring on the foot.\n</p>
<div class="lb-trans"><p>中国外科医生成功进行了世界首例将患者撕裂的耳朵移植到脚上再重新安置的手术。\n 这名女性的耳朵在四月份的一次工作事故中被撕掉，事故还导致她的大部分头皮被撕裂，医疗新闻平台 Med-J 周一报道。\n 济南山东省医院显微外科副主任邱申强表示，这名女性的伤势是由重型机械造成的，留下了危及生命的伤害。\n 头皮、颈部和面部皮肤被撕裂并 “分裂成多个碎片”，而耳朵则 “与头皮完全分离”。\n 当这名女性到达医院时，手足及重建显微外科团队立即尝试使用标准方法修复头皮。\n 但事故对她的头皮组织和血管网络造成的严重损伤使得这种方法失败。\n 这意味着团队在头骨组织愈合之前无法重新连接耳朵，迫使团队寻找保持耳朵存活的方法，直到可以重新连接。\n 邱的团队最终决定将耳朵移植到她的脚背上，然后进行为期数月的恢复和重建过程。\n 外科医生表示，他们做出这个决定是因为脚部的动脉和静脉口径合适，与耳朵的血管高度兼容。\n 脚部的皮肤和软组织也与头部的相似，移植后需要的调整最小。\n 这一高度复杂的手术没有先例或成功案例可供借鉴。\n 根据报道，将耳朵移植到脚上的初步步骤耗时 10 小时。一个挑战在于耳朵的血管极其细小，直径仅为 0.2-0.3 毫米，需要高超的技术和丰富的显微外科经验才能将其连接起来，邱说。\n 手术后五天，团队遇到了另一个关键情况，心脏血液循环出现问题，称为静脉回流，阻碍了耳朵的血液供应，使其变成紫黑色。\n 为了挽救耳朵，团队不得不采用繁琐的手动放血技术，五天内进行了约 500 次操作。\n 与此同时，团队通过将从患者腹部取的皮肤移植到头部来恢复患者的头皮。\n\n\n 五个多月后，移植的头皮和颈部皮肤愈合，肿胀消退，耳朵和脚部的手术部位完全愈合，医疗团队能够将耳朵重新安置。\n 在十月份，邱领导的团队成功进行了这项六小时的手术，创造了全球先例。\n 这名仅以姓氏孙识别的患者现在已出院，她的面部和组织功能基本恢复。\n 她仍需进行几次相对较小的手术，包括恢复缺失的眉毛和减少脚部的疤痕。</p>
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中国外科医生在事故后首次将患者的耳朵移植到她的脚上