断指再植后甲襞毛细血管襻临床观察  

Clinical Observation of the Nailfold Capillary Loops After Replanted Severed Fingers

作　　者：陆伟[1] 肖建德[1] 陈新[1] 李振宇[1] 胡波[1] 龚敏[1] 林恒洲[1] 

机构地区：[1]广东省深圳市第二人民医院骨二科,518029

出　　处：《中国微循环》2003年第1期37-38,共2页Journal of Chinese Microcirculation

基　　金：深圳市科技局基金资助(编号 :19991107)

摘　　要：目的探讨断指再植后甲襞毛细血管襻变化规律的研究。方法检测60例68个断指 ,分别于再植术后6、12、24h ,3、5、7、14d观察断指甲襞毛细血管襻的状况。结果断指再植术后顺利的病例 ,术后3d以后才能观察到2～5条甲襞毛细血管襻出现 ,7d后甲襞毛细血管襻(NFC)数量和襻内血流状况恢复到正常水平 ;术后出现静脉危象的病例 ,均于术后12h内观察到较多粗大、无有形物流动的甲襞毛细血管襻 ;动脉危象则始终不能观察到甲襞毛细血管襻。Objective To discuss Changes of nailfold capillary loops after replanted severed finˉgers.Methods68fingers of60cases were tested.The NFC were observed6,12,24hours and3,5,7,14days afteroperation.Results In cases without complication,the NFC could not be observed within3days after opˉeration;While all the cases with veinous crisis,the NFC appeared within12hours.But the NFC did not appear in all cases with artery crisis.Conclusions The observation of NFC is a relatively good method in assessment of replanted severed fingers.

关 键 词：临床观察 断指再植术 甲襞毛细血管襻 

分 类 号：R658.1[医药卫生—外科学]