Yamano分区断指再植疗效分析  

Clinical analysis of replantation of severed finger in Yamano partition

作　　者：梁启善[1] 郭小惠 杨小文[1] 刘明龙[1] 林钦扬[1] 黄良任[1] 李日添[1] 

机构地区：[1]暨南大学医学院附属深圳华侨医院手足显微外科分院,广东深圳518111 [2]涪陵区郭昌毕骨科医院,重庆408000

出　　处：《实用手外科杂志》2013年第3期346-348,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨末节断指再植的临床疗效。方法2003年11月-2012年8月采用超显微外科技术吻合动静脉或仅吻合动脉、指尖放血的方法，进行YamanoⅠ～Ⅲ区断指再植60例72指。其中Ⅰ区18指，Ⅱ区22指，Ⅲ区32指。结果再植断指成活69指，成活率95．8％，按中华手外科学会上肢部分功能评定试用标准评定：优50指，良16指，差3指，两点辨别觉4-6mm。结论显微外科或超显微外科技术是末节断指再植成功的关键。Objective To investigate the clinical efficacy of finger tip replantation. Methods From November 2003 to August 2012, we used a super-microsurgical technique for anastomosising artery, vein or only anastomosis artery and fingertips bled, to replanted finger 60 cases 72 fingers in Yamano Ⅰ - Ⅲ, zone Ⅰ 18 fingers, zone Ⅱ22 fingers, zone Ⅲ32 fingers. Results The 69 replanted fingers survival. The survival rate was 95.8%. According to the functional evaluation criteria formulated by Chinese Hand Surgery Society, results were excellent in 50 cases, good in 16 cases, and poor in 3 cases. The 2-point discrimination was 4-6 mm. Conclusion Microsurgical or super microsurgical technique is the key to replant success of distal phalanx severed finger.

关 键 词：末节断指再植 超显微外科 Yamano分区 

分 类 号：R658.1[医药卫生—外科学]