自体静脉移植改善断指再植术后血供的临床效果研究  

Clinical study on improving blood supply after finger replantation using autogenous vein transplantation

作　　者：陈东亮 石新成 王超朋 刘俊鹏 CHEN Dongliang;SHI Xincheng;WANG Chaopeng;LIU Junpeng(Trauma Department,Xuchang Renhe Orthopedic Hospital Trauma Department,Henan Province,461000,China;Department of Orthopedics,Xuchang People's Hospital,Henan Province,461000,China)

机构地区：[1]许昌仁和骨伤医院创伤科,河南许昌461000 [2]许昌市人民医院骨一科,河南许昌461000

出　　处：《中国医疗美容》2024年第11期65-68,共4页China Medical Cosmetology

摘　　要：目的研究自体静脉移植改善断指再植术后血供的临床效果。方法选择2021年1月至2023年12月期间许昌仁和骨伤医院创伤科收治的66例断指再植术患者,根据治疗方法不同分为2组,各33例。对照组采用同指指动脉转位吻合术治疗,观察组采用自体小静脉桥接移植术治疗,观察两组术后断指功能恢复情况、局部血流动力学、断指再植存活率,并比较两组术后并发症情况。结果术后观察组患者断指功能运动功能(88.42±5.36)分、日常生活活动(90.74±5.58)分、血液循环状态(92.36±5.42)分、感觉恢复评分(91.14±5.35)分高于对照组,且合计分值(90.89±5.16分)高于对照组(84.16±4.26分),差异有统计学意义(P<0.05)。术后观察组患者Vs(55.43±6.21)cm/s、Vd(25.36±0.72)cm/s、Vm(35.34±4.72)cm/s,高于对照组,RI(0.53±0.14)低于对照组(0.96±0.18),差异有统计学意义(P<0.05)。断肢再植效果追踪显示,观察组患者存活率96.97%(32/33)高于对照组81.82%(27/33),差异有统计学意义(P<0.05);观察组患者术后并发症发生率6.06%(2/33)低于对照组24.24%(8/33),差异有统计学意义(P<0.05)。结论应用自体小静脉桥接移植术可改善断指功能,稳定局部血流动力学指标,并可显著提高断指再植的存活率,降低并发症发生风险,有临床应用价值。Objective Study the clinical effect of autologous vein transplantation on improving blood supply after finger replantation surgery.Methods Select 66 patients who underwent finger replantation surgery at the Trauma Department of Renhe Orthopedic Hospital in Xuchang from January 2021 to December 2023,and divide them into two groups of 33 patients each according to different treatment methods.The control group was treated with transposition anastomosis of the same finger artery,while the observation group was treated with autologous small vein bridging transplantation.The postoperative recovery of finger function,local hemodynamics,and survival rate of fifinger replantation were observed in both groups,and the postoperative complications were compared.Results The postoperative observation group showed significantly higher levels of finger function and motor function(88.42±5.36 points),daily living activities(90.74±5.58 points),blood circulation status(92.36±5.42 points),and sensory recovery score(91.14±5.35 points)compared to the control group,and the total score(90.89±5.16 points)was signifificantly higher than that of the control group(84.16±4.26 points),with statistical signifificance(P<0.05).The postoperative observation group had signifificantly higher Vs(55.43±6.21cm/s),Vd(25.36±0.72cm/s),and Vm indicators(35.34±4.72cm/s)than the control group,while RI(0.53±0.14)was signifificantly lower than the control group(0.96±0.18)(P<0.05).Tracking the effect of limb replantation showed that the survival rate of the observation group(96.97%,32/33)was signifificantly higher than that of the control group(81.82%,27/33)(P<0.05);The incidence of postoperative complications in the observation group(6.06%,2/33)was signifificantly lower than that in the control group(24.24%,8/33)(P<0.05).Conclusions The application of autologous small vein bridging transplantation can improve fifinger function,stabilize local hemodynamic indicators,and signifificantly increase the survival rate of fifinger replantation,reducing the r

关 键 词：自体静脉移植 断指再植术 血流动力学 断指再植存活率 并发症 断指功能 

分 类 号：R473.6[医药卫生—护理学]