长时间热缺血的离断指尖的再植体会  

Experience in replantation of severed fingertip with long-term warm ischemia

作　　者：杨盛林 刘承伟 袁虹豪 彭龙 弓贺炜 关瀚辉 陈禺 YANG Shenglin;LIU Chengwei;YUAN Honghao;PENG Long;GONG Hewei;GUAN Hanhui;CHEN Yu(Guizhou Provincial Orthopaedic Hospital,Guiyang 550007,China)

机构地区：[1]贵州省骨科医院,贵州省贵阳市550007

出　　处：《组织工程与重建外科》2022年第4期319-321,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的 总结长时间热缺血的离断指尖再植的方法。方法 2017年3月至2019年12月,我们共收治了热缺血时间8~19 h的指尖离断患者17例(19指),均通过急诊显微手术给予再植。结果 本组患者中有16指再植成功,3指失败,再植成功率84.2%。结论 长时间热缺血的离断指尖仍有极高的再植成功的可能性,临床不应轻易放弃而导致患者的指尖缺损和部分功能受损。Objective To explore the methods of replantation of severed fingertip with long-term warm ischemia.Methods From March 2017 to December 2019, 17 patients(19 fingers) with warm ischemia time of 8-19 hours were reviewed. Replantation was performed by emergency microsurgery. Results In this group, 16 fingers were successfully replanted and 3 fingers failed, with a success rate of 84.2%. Conclusion There is still a high possibility of successful replantation of severed fingertip with long-term warm ischemia, which should not be easily given up and lead to fingertip defect and partial functional impairment.

关 键 词：指尖离断 热缺血 再植 

分 类 号：R658.1[医药卫生—外科学]