2016년 한 해 동안 군에서 발생한 수지 절단 환자 역학조사 및 치료 개선방안 연구 = Epidemiological study and improvement plan of finger amputation patients at the military in 2016

다국어 초록 (Multilingual Abstract)

Objectives; Hand injury to the soldiers in relation to safety accident and military training is one of the most frequent. However, there has not been a proper study about hand injury, especially finger amputation cases. The current situation is that the most patients are taken to a private hospital for replantation surgery. Military hospitals are poorly prepared for the finger amputation and need to clearly recognize what is lacking and prepare for it. This study is an initial study of how the epidemiological investigation and treatment of finger amputation injuries occurred in the military, and to suggest ways to improve the current problems.
Methods; The cases were for all military patients who underwent replantation surgery at the military hospitals and civilian hospitals in case of finger amputation injuries that occurred in the military from January 1, 2016 to December 31, 2016. The survey items were subdivided into the injury, patient, hospital and treatment factors. The results of treatment were analyzed by two groups operated at military hospitals and civilian hospitals.
Results; Total thirty-eight patients were suffered from finger amputation injuries in the military in 2016, 23(60.5%) patients underwent replantation surgery at civilian hospitals and 15(39.5%) patients underwent at military hospitals. Of the 23 patients who underwent replantation surgery at civilian hospitals, 18(78.3%) patients recovered successfully without additional surgery, 3(13%) patients had partial necrosis and 2(8.7%) patients were failed surgeries and recovered through further surgery. Of the 15 patients at military hospitals, 6(40%) patients had successful recovery without additional treatment, 6(40%) patients had partial necrosis and 3(20%) were failed surgeries and needed further surgery.
Conclusions; The current military medical system is not sufficient to treat finger amputation patients successfully. It is necessary to establish a health care system that can be intensively treated in a single hospital, along with specialized medical staff for microsurgery.