邻指动脉转位在复杂断指再植中的应用

The application of transfer for neighboring digital artery in replantation of complex severed fingers

目的:研究邻指动脉在复杂断指再植中的应用。方法:1996年5月～2002年5月,应用邻指固有动脉顺行和逆行转位方法对32例35指复杂断指进行再植,其中26例29指行邻指动脉近端与断指远端动脉吻合(顺行转位),6例6指行邻指动脉远端与断指远端动脉吻合(逆行转位)。结果:成活26例28指,部分成活2例2指。所有全部成活病例术后随访6个月～3年,平均随访10个月。按中华医学会手外科学会断指再植功能评定标准评定,优良率为84.6%。结论:邻指动脉转位是复杂断指进行再植的一种有效方法。

Objective To explore the application of transfer for neighboring digital artery in replantation of complex severed fingers. Method 32cases (35 fingers) of complex severed fingers were involved from may 1996 to may 2002. Neighboring digital proper artery was transferred clockwise and anticlockwise in replantation. The proximal neighboring digital artery was transferred clockwise to anatomies with the distal artery of severed fingers in 26 patients (29 fingers) and the distal neighboring digital artery were transferred anticlockwise to anatomies with the proximal artery of severed fingers in 6 patients (6 fingers). Results 26 cases (28 fingers) were survived and 2 cases (2 fingers) partly. After operation, the follow-up period ranged from 6 months to 3 years (an average of 10 months ) in 26 cases. According to the standard functional evaluation issued by Hand Surgery Association of Chinese Medical Association, the excellent and good rate was 84.6%. Conclusion The transfer for neighboring digital artery is an effective procedure for replantation.