远端扩髓结合负压引流在无静脉吻合末节再植中的应用  

Application of the medullary cavity enlargement of distal linger combined with negative pressure drainage in distal linger replantation without venous anastomosis

作　　者：邢动 王海峰 燕磊 丁涛 邱中杰 夏添 

机构地区：[1]解放军第一0五医院显微外科,合肥230031

出　　处：《中华手外科杂志》2017年第5期369-370,共2页Chinese Journal of Hand Surgery

摘　　要：目的报告远端扩髓与负压引流相结合在元静脉吻合条件下手指末节再植中的疗效。方法自2017年1月至2017年5月，我们对末节断指患者8例8指进行再植，均无静脉吻合条件，术中采用直径2．0mm钻头扩大离断指体髓腔，同时使用侧方开孔的静脉留置针进行负压引流。结果再植8指，1指因吸烟导致部分坏死，其余7指均顺利存活。术后随访时间1．5—4．0个月，平均2．0个月，存活指体外观满意。结论远端扩髓与负压引流相结合这种新型术式在无静脉吻合条件下手指末节再植中能提高再植成活率，临床疗效良好。Objective To report the clinical outcomes of the meclullary cavity enlargement of distal finger combined with negative pressure drainage in distal finger replantation without venous anastomosis. Methods From January 2017 to May 2017, 8 cases （8 fingers） with amputated distal finger were replanted by the medullary cavity enlargement using 2.0-mm-diameter drill combined with negative pressure drainage using venous indwelling needle with several lateral holes. Results Partial necrosis was found in one case due to smoking. The rest 7 cases survived uneventfully. The postoperative follow-up period ranged from 1.5 to 4 months with an average of 2.0 months. The appearance of replanted fingers was satisfactory. Conclusion The medullary cavity enlargement of distal finger combined with negative pressure drainage can improve survival rate of replantation and has favourable prognosis in distal finger replantation without venous anastomosis.

关 键 词：再植术 治疗结果 手指末节 静脉回流 

分 类 号：R658.1[医药卫生—外科学]