不吻合血管的指尖断指再植  

The replanlation of amputated finger tip of unanastomosis

作　　者：聂开瑜[1] 魏在荣[1] 王达利[1] 祁建平[1] 曾雪琴[1] 韩文杰[1] 王波[1] 

机构地区：[1]遵义医学院附属医院烧伤整形外科,贵州遵义563003

出　　处：《遵义医学院学报》2005年第2期135-136,共2页Journal of Zunyi Medical University

摘　　要：目的报道不吻合血管指尖断指再植的方法及临床效果。方法14例14个离断指尖被原位缝合于近侧断端,其表皮被均匀切除,然后将去表皮之指尖包埋于上胸部或同侧手掌皮下。术后2～3w将手指从皮下取出,观察离断之指尖与断指近端的血供建立情况。结果术后2～3w将离断指尖取出时14个离断指尖均见明显渗血。经换药12个指尖完全成活并逐渐上皮化。2个指尖逐渐干瘪坏死。随访4～24mo,8指指甲再生良好,无畸形发生。4指指甲稍显畸形。结论不吻合血管皮下包埋法在不具备显微外科再植和原位缝合条件时,是一种简单而有效的方法。Objective To report the replanlation procedure and the clinical effect of the finger tip replanlation of unanastomosis blood vessel.Methods 14 cases of fingertip amputation were presented. In each case, replantation was achieved in a two-stage procedure, involving reattachment, de-epithelialisation and insertion into a superior thoracic or palmar pocket in stage 1, followed by removal from the pocket about 2～3 weeks later and the survival of the fingertip amputation were observed.Results The bleeding were found in all the fingertips amputation when they were taken out from the skin pocket .in 2～3 weeks . And 12 fingertips amputation were survival and re-epithelization.Other two fingertips amputation were becoming dry and necrotic. A follow-up from 4 to 24 months post-operation was performed. The shape of nail grew finely in 8 cases and were abnormality in 4 cases.Conclusions It is a simple and effective method when there is no the conditions of the microsurgery replanlation.

关 键 词：指尖断指 再植 手 

分 类 号：R681.7[医药卫生—骨科学]