三种放血方法对末节断指再植的疗效观察

Observation of Curative Effect of Three Depletion Methods on Replanlation of Paratelum Amputated Finger

目的探讨甲床肝素棉球湿敷法、端侧切口放血法、指端侧真皮浅层创面放血法治疗末节断指再植的效果。方法1999～2007年应用甲床肝素棉球湿敷法、端侧切口放血法、指端侧真皮浅层创面放血法治疗末节断指再植并进行疗效分析。结果甲床肝素棉球湿敷法组成活率为92．68％，成活后指甲畸形；端侧切口放血法组成活率为80．20％，指端侧真皮浅层创面放血法组成活率为96．61％。结论指端侧真皮浅层创面放血法成活率最高，应作为末节断指再植放血方法的最佳选择。

Objective To study the herapeutic effect of replanlation of paratelum amputated finger by using herparin cotton ball for hydropathic compress of nail bed, extremity-side incisal opening depletion method and finger side-extremity derma superficial layer raw surface depletion method. Methods The therapeutic efficacy analysis was carried out on the cases with replanlation of paratelum amputated finger from 1999 to 2007 by using the three methods. Results The survival rate is 92.68% in nail bed herparin cotton bali hydropathic compress and the survival nail are abnormity;while the survival rate is 80.20% in extremity-side incisal opening depletion mthod and 96.61% in finger＇s side-extremity derma superficial layer raw surface depletion mthod. Conclusion finger＇s side-extremity derma superficial layer raw surface depletion method has the highest survival rate among the three methods, which shoud be the best method for replanlation of paratelum amputated finger.