顺行法和逆行法在含拇指或足趾断指（趾）再植中的对比研究  

Contrast study between conventional and retrograde procedure for replantation of severed finger（toe）

作　　者：潘维亮[1] 张峰[1] 徐传刚[1] 陆伟[1] 

机构地区：[1]山东济宁医学院附属滕州中心人民医院手足外科,277500

出　　处：《中国临床实用医学》2010年第12期34-36,共3页China Clinical Practical Medicine

摘　　要：目的探讨顺行法与逆行法再植术式在含拇指或足趾断指（趾）再植中的应用价值及临床意义。方法对断指和（或）含拇指或足趾离断患者在再植时分两组各采用顺行法和逆行法再植术式（再植血管、神经、肌腱条数等同），并记录绝对再植时间（开始吻合组织至再植指完成），对时间及肢体体位操作难易进行评估。结果①逆行法组绝对再植时间明显短于顺行法组；②逆行法组较顺行法组在体位操作上明显简单易摆。结论在含拇指或足趾断指（趾）再植中逆行法术式较顺行法术式优越。Objective To study the clinical significance and applied value of the conventional and ret- rograde procedure＇ for replantation of severed finger （toe）. Methods 64 patients with severed fingers or toes were divided into 2 groups randomly：to apply conventional or retrograde procedure respectively. The number of replantation of blood vessel, nerve and tendon was same. To record the replantation time and compare it was difference, and to investigate how to handle limb posture. Results （1）The replantation time of retrograde group was significantly shorter than conventional group.（2）Compare with conventional group, how to handle limb posture is simple and convenient for retrograde group. Conclusion Compare with conventional procedure, retro- grade procedure is superior and feasible for replantation of severed finger（toe）.

关 键 词：断指(趾)再植 逆行法 顺行法 肢体位 

分 类 号：R65[医药卫生—外科学]