断指再植临床经验探讨  

作　　者：杜正通[1] 厉一维[1] 陈伟丽[1] 

机构地区：[1]浙江省磐安县人民医院骨科,322300

出　　处：《浙江临床医学》2005年第12期1255-1256,共2页Zhejiang Clinical Medical Journal

摘　　要：目的分析断指再植的近期和远期疗效。方法再植53例(67指),麻醉下彻底清创,简单的内固定,细致修复肌腱,精确吻合血管。结果其中63指成活(成活率94%),4指坏死(坏死率6%)。随访0.5～4年,用中野和玉井功能评价标准评定疗效,其中优32指、良20指、中8指、差3指,优良率82.54%。结论精湛的显微外科技术是提高断指再植成功率的关键。良好的骨折固定、肌腱吻合,尽早有效功能训练是提高疗效的关键。Objective To analyze the short - and long - term effects of replanlation of amputated finger. Methods 53 cases of replanlation of amputated finger （67 fingers） were performed delicate tendon repair and precise vascular anastomosis after thorough debridement and simple internal fixation. Results 63 fingers survived（survival rate 94% ） and 4 underwent necrosis（necrosis rate 4% ）. According to the Zhong YeHe YuJing standard, The good recovery rate is 82.54%. Conclusion proficient microsurgery technique is the key to success of replanlation of amputated finger. It is important for replanlation of amputated finger to fix fracture, anastomosis tendon and vascular and early effective functional training.

关 键 词：断指 再植 疗效 成活率 

分 类 号：R658.1[医药卫生—外科学] R654.2[医药卫生—临床医学]