食指桡侧指固有动脉转位套入法治疗拇指断指  

Index finger radial digital proper artery transfer and sleeve anastomosis to treat thumb digital artery defect

作　　者：姚阳[1] 李崇杰[1] 

机构地区：[1]沈阳医学院附属中心医院 手一科,辽宁 沈阳110024

出　　处：《实用手外科杂志》2014年第1期35-36,共2页Journal of Practical Hand Surgery

摘　　要：目的：探讨食指桡侧指固有动脉转位套入法治疗拇指断指的疗效。方法对10例指动脉缺损而无肌腱神经缺损的拇指完全或不完全离断病例，采用食指桡侧指固有动脉转位与拇指尺侧指固有动脉行套入吻合法修复动脉，再植拇指。结果本组10例再植拇指均成活，指腹饱满，色泽红润，经6~24个月随访，患者手部功能恢复满意，外观自然，2例出现虎口狭窄，经手术改善。结论食指桡侧指固有动脉转位套入法适用于单纯拇指指动脉缺损的再植治疗。Objective To investigate the effect of index finger radial digital proper artery transfer and sleeve anastomosis on treatment of thumb digital artery defect. Methods 10 cases of complete or incomplete thumb amputation with digital artery defect, but without tendon or nerve defect, were replanted by index finger radial digital proper artery transfer and sleeve anastomosis to thumb ulnar digital proper artery. Results All of 10 cases survived after operation, finger pulp was plump, color and lustre was florid. The patients were followed up for 10 months to 2 years, the hand function has obtained satisfactory recovery, and extrinsic feature was natural. Conclusion Index finger radial digital proper artery transfer and sleeve anastomosis is especially adaptive to the treatment of thumb digital artery defect.

关 键 词：拇指 再植术 食指 血管吻合 

分 类 号：R658.1[医药卫生—外科学]