动静脉转流术在手指末节脱套样离断伤中的应用  

Artery-vein transfer for the replantation of the degloved amputation in the distal phalanx

作　　者：王培吉[1] 周忠良[1] 

机构地区：[1]苏州大学附属第二医院手足外科,江苏苏州215004

出　　处：《实用手外科杂志》2010年第3期180-181,共2页Journal of Practical Hand Surgery

摘　　要：目的探讨应用动静脉转流的方法再植手指末节脱套性断指的可行性和临床效果。方法对12例12指脱套性断指采用逆行再植顺序，应用动静脉转流的方法重建血液循环。结果12例再植11例成活，术后随访6～14个月，手指感觉和运动功能恢复良好。结论对于找不到可供吻合静脉的末节脱套伤断指，应用动静脉转流的方法再植是可行的。Objective To study the feasibility and outcomes of the artery-vein transfer for the replantation of the degloved amputation in the distal phalanx. Methods In this cohort, 12 degloved amputated fingers in 12 patients were replanted with this technique. After anastomosis of one proper digital artery, another proper digital artery of the distal part was anastomosed to the veins of the proximal part in an end-to-end or end-to-side fashion. Results After surgery, 11 of 12 digits were survived. At the final follow-up of 6 to 14 months, the survived digit presented acceptable motor and sensory restoration. Conclusion Our technique is useful for the replantation of the degloved amputation in the distal phalanx when vein-to-vein anastomisis is impossible.

关 键 词：脱套伤 显微外科 动静脉转流术 断指再植 

分 类 号：R654.4[医药卫生—外科学]