甲根以远仅吻合动脉再植10例  

A Root Replantation Distal Arterial Anastomosis in 10 Cases Only

作　　者：谢伟文[1] 谌业光[1] 

机构地区：[1]广东省梅州市人民医院骨外三科,广东梅州514031

出　　处：《临床医学工程》2011年第6期965-966,共2页Clinical Medicine & Engineering

摘　　要：目的探讨甲根以远指尖离断再植的临床特点。方法对10例甲根以远指尖离断采取只吻合动脉的方法再植,术后于再植指体末端做小切口放血引流。结果 10例离断指尖中,成活9例,坏死1例,再植成功率为90%。出院后9例得到随访,随访时间6～12个月,成活指体功能与外形恢复满意,静态两点辨别觉3.2～5.0mm(平均4.2mm)。患者对再植结果满意。结论甲根以远的指尖离断再植要在显微镜下进行,只要术者熟练掌握显微外科技巧和精确的血管吻合技术,手指再植均能取得成功。Objective To explore a fingertip replantation root beyond the clinical features. Methods 10 patients with a distal fingertip amputation to take root only method of arterial anastomosis replanted. Body in the replanted fingers after the end of a small incision bleeding drainage. Results 10 cases of fingertip amputation,the survival of 9 patients and necrosis in one case. Replantation success rate was 90%. 9 patients after discharge from hospital were followed up for 6 to 12 months,survival finger function and appearance were satisfactory,static two discrimination of 3.2 ～ 5.0 mm（average 4.2 mm） . Replantation patients were satisfactory with the results. Conclusion A root beyond the fingertip replantation should be carried out under the microscope,as long as the surgeons are familiar with microsurgical techniques and the precise vascular anastomosis,finger replantation can be successful.

关 键 词：指尖 离断 再植 

分 类 号：R658.1[医药卫生—外科学]