<p>中國外科醫生成功進行了世界首例將患者撕裂的耳朵移植到腳上再重新安置的手術。\n 這名女性的耳朵在四月份的一次工作事故中被撕掉，事故還導致她的大部分頭皮被撕裂，醫療新聞平台 Med-J 週一報道。\n 濟南山東省醫院顯微外科副主任邱申強表示，這名女性的傷勢是由重型機械造成的，留下了危及生命的傷害。\n 頭皮、頸部和麪部皮膚被撕裂並 “分裂成多個碎片”，而耳朵則 “與頭皮完全分離”。\n 當這名女性到達醫院時，手足及重建顯微外科團隊立即嘗試使用標準方法修復頭皮。\n 但事故對她的頭皮組織和血管網絡造成的嚴重損傷使得這種方法失敗。\n 這意味着團隊在頭骨組織癒合之前無法重新連接耳朵，迫使團隊尋找保持耳朵存活的方法，直到可以重新連接。\n 邱的團隊最終決定將耳朵移植到她的腳背上，然後進行為期數月的恢復和重建過程。\n 外科醫生表示，他們做出這個決定是因為腳部的動脈和靜脈口徑合適，與耳朵的血管高度兼容。\n 腳部的皮膚和軟組織也與頭部的相似，移植後需要的調整最小。\n 這一高度複雜的手術沒有先例或成功案例可供借鑑。\n 根據報道，將耳朵移植到腳上的初步步驟耗時 10 小時。一個挑戰在於耳朵的血管極其細小，直徑僅為 0.2-0.3 毫米，需要高超的技術和豐富的顯微外科經驗才能將其連接起來，邱説。\n 手術後五天，團隊遇到了另一個關鍵情況，心臟血液循環出現問題，稱為靜脈回流，阻礙了耳朵的血液供應，使其變成紫黑色。\n 為了挽救耳朵，團隊不得不採用繁瑣的手動放血技術，五天內進行了約 500 次操作。\n 與此同時，團隊通過將從患者腹部取的皮膚移植到頭部來恢復患者的頭皮。\n\n\n 五個多月後，移植的頭皮和頸部皮膚癒合，腫脹消退，耳朵和腳部的手術部位完全癒合，醫療團隊能夠將耳朵重新安置。\n 在十月份，邱領導的團隊成功進行了這項六小時的手術，創造了全球先例。\n 這名僅以姓氏孫識別的患者現在已出院，她的面部和組織功能基本恢復。\n 她仍需進行幾次相對較小的手術，包括恢復缺失的眉毛和減少腳部的疤痕。</p>

<p>中國外科醫生在一起工作事故後，首次將一個撕裂的耳朵移植到患者的腳上。該手術由山東省醫院的邱申強主刀，由於頭皮受傷嚴重，手術涉及複雜的顯微外科技術。經過幾個月的恢復，耳朵成功再植，創造了全球先例。患者孫某已基本康復，但仍需進行小規模的後續手術</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>中國外科醫生成功進行了世界首例將患者撕裂的耳朵移植到腳上再重新安置的手術。\n 這名女性的耳朵在四月份的一次工作事故中被撕掉，事故還導致她的大部分頭皮被撕裂，醫療新聞平台 Med-J 週一報道。\n 濟南山東省醫院顯微外科副主任邱申強表示，這名女性的傷勢是由重型機械造成的，留下了危及生命的傷害。\n 頭皮、頸部和麪部皮膚被撕裂並 “分裂成多個碎片”，而耳朵則 “與頭皮完全分離”。\n 當這名女性到達醫院時，手足及重建顯微外科團隊立即嘗試使用標準方法修復頭皮。\n 但事故對她的頭皮組織和血管網絡造成的嚴重損傷使得這種方法失敗。\n 這意味着團隊在頭骨組織癒合之前無法重新連接耳朵，迫使團隊尋找保持耳朵存活的方法，直到可以重新連接。\n 邱的團隊最終決定將耳朵移植到她的腳背上，然後進行為期數月的恢復和重建過程。\n 外科醫生表示，他們做出這個決定是因為腳部的動脈和靜脈口徑合適，與耳朵的血管高度兼容。\n 腳部的皮膚和軟組織也與頭部的相似，移植後需要的調整最小。\n 這一高度複雜的手術沒有先例或成功案例可供借鑑。\n 根據報道，將耳朵移植到腳上的初步步驟耗時 10 小時。一個挑戰在於耳朵的血管極其細小，直徑僅為 0.2-0.3 毫米，需要高超的技術和豐富的顯微外科經驗才能將其連接起來，邱説。\n 手術後五天，團隊遇到了另一個關鍵情況，心臟血液循環出現問題，稱為靜脈回流，阻礙了耳朵的血液供應，使其變成紫黑色。\n 為了挽救耳朵，團隊不得不採用繁瑣的手動放血技術，五天內進行了約 500 次操作。\n 與此同時，團隊通過將從患者腹部取的皮膚移植到頭部來恢復患者的頭皮。\n\n\n 五個多月後，移植的頭皮和頸部皮膚癒合，腫脹消退，耳朵和腳部的手術部位完全癒合，醫療團隊能夠將耳朵重新安置。\n 在十月份，邱領導的團隊成功進行了這項六小時的手術，創造了全球先例。\n 這名僅以姓氏孫識別的患者現在已出院，她的面部和組織功能基本恢復。\n 她仍需進行幾次相對較小的手術，包括恢復缺失的眉毛和減少腳部的疤痕。</p>
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中國外科醫生在事故後首次將患者的耳朵移植到她的腳上