十堰太和医生14小时极致操作，受伤女工左手4指成功移植到右手
Taihe Hospital Surgeons Successfully Replant Amputated Fingers in 14-Hour Surgery，Successful Transplant of Four Left Fingers to Right Hand for Injured Worker
翻译/喻景麟 王宇霄 尹珩 （湖北大学）
Translated by Yu Jinglin, Wang Yuxiao, Yin Heng (Hubei University)
楚天都市报极目新闻讯（记者 关前裕 通讯员 王玮）一场突如其来的作业事故，让53岁的陈女士双手面临毁灭性损伤。紧要时刻，湖北十堰市太和医院手外·足踝·显微骨科团队果断决定：将她左手尚且完好的4根手指，“搬”到严重损毁的右手上。11月16日，极目新闻记者从院方了解到，陈女士手术成功。
Jimu News (Reporter Guan Qianyu, Correspondent Wang Wei) A sudden workplace accident caused devastating injuries to both hands of 53-year-old Ms. Chen. During the dire moment, a team of surgeons from the division of Hand Surgery, Foot and Ankle, and Microscopic Orthopedics at Taihe Hospital of Shiyan City, Hubei Province opted for a bold procedure: to “move” the 4 intact fingers from her left hand to her severely damaged right hand. On November 16, Jimu News was informed by the hospital that Ms. Chen’s surgery was a success.
三组医护团队同步上阵，争分夺秒接上断指（通讯员供图） Three Medical Teams Raced Against Time to Reattach Severed Fingers (Courtesy by correspondent)
11月8日凌晨，陈女士在夜班作业时不慎被高速机器绞伤，左前臂完全离断，右手除无名指外的4指也严重毁损——拇指指尖缺失、食指半侧皮肤撕脱、中指两节离断、小指皮肤全层缺失，仅留裸露骨骼与肌腱相连，创面血肉模糊。
In the early morning of November 8, Ms. Chen was caught in a high-speed machine during her night shift, leaving her left forearm completely severed. Four fingers on her right hand, except the ring finger, were also badly wounded——the tip of her thumb was lost, half the skin of her index finger was avulsed, her middle finger was broken off at two points, and the little finger suffered full-thickness skin loss, leaving only exposed bones attached to tendons. The entire wound was a bloody and mangled mess.
当地医院紧急实施止血、输血、创面包扎后，陈女士被连夜送往十堰市太和医院，她已因失血过多意识模糊。
At the local hospital, medics provided urgent care, offering hemostasis to manage the bleeding, blood transfusion and wound dressing, before referring Ms. Chen to Taihe Hospital in Shiyan. By the time of arrival, she was unconscious due to excessive blood loss.
该科主任姚忠军教授评估后认为，患者左上肢毁损过于严重，再植意义不大；作为主力手的右手虽损伤惨烈，但手掌基部结构尚存，仍有重建希望。“我们可将左手可用手指，移植到右手上！”姚忠军提出的“自体异位手指移植”方案，打破了传统再植思路，旨在最大限度保留右手功能。
Professor Yao Zhongjun, director of the Department of Hand Surgery, Foot and Ankle, and Microscopic Orthopedics, deemed the damage to the patient’s left upper limb far too severe to be replanted. Although her right hand, which is the dominant hand, was badly injured, the basic structure of the palm maintained intact, offering hope for reconstruction. “We can transplant the left usable fingers to her right hand,” Yao proposed. This “autologous heterotopic finger transplant” departed from conventional approaches, aiming to maintain the right-hand function to the greatest extent.
清晨6时30分，一场与时间赛跑的手术拉开序幕。三组医护团队同步上阵：一组处理左臂残端，一组在显微镜下精细分离左手可供移植的四指，另一组则为右手“修桥铺路”，营造移植环境。
The race-against-time surgery kicked off at 6:30 a.m. Three medical teams operated simultaneously: one managed the stump of the left arm; another carefully separated the four left fingers for transplantation under a microscope, while a third team prepared the transplant site on the right hand.
最关键的血管吻合阶段，医生们在20倍显微镜下，用细如发丝的缝线，以微米级精度接通一根根血管、神经。任何0.1毫米的偏差都可能导致血栓，使手术功亏一篑。
For the most crucial step, vascular anastomosis, doctors used operation sutures as fine as hair under a 20x microscope to reconnect blood vessels and nerves with micron-level precision. Any slight deviation could lead to thrombosis, resulting in the failure of the surgery.
经过14小时不间断奋战，当晚8时30分，当止血带松开，移植到右手的4根手指逐渐恢复红润，血运良好，标志着这场高难度手术取得成功。
After 14 hours of non-stop efforts, at 8:30 p.m. the 4 transplanted fingers on the right hand gradually turned red with good blood circulation after the tourniquet was released, marking the success of this intricate and challenging surgery.
据悉，此类将一侧肢体器官移植到另一侧的自体异位移植手术，在国内外均属罕见。该手术的成功实施，不仅挽救了患者的右手功能，也为严重肢体毁损伤的治疗开辟了新的技术路径。
Reports indicate that such autologous heterotopic transplantation surgery, involving the transplant of amputated digits or fingers from one limb to the other, is extremely rare both domestically and internationally. The successful implementation of this surgery not only maintained the function of the patient's right hand but also pioneered a new viable path for treating severe limb injuries.