特殊复杂类型的断指再植94例体会

Clinical Experience on Replantation of Complex Disjunct Fingers in 94 Cases

目的探讨提高特殊复杂类型断指再植的成活率及功能恢复的方法和途径。方法采用血管、神经、肌腱移植以及血管多样化组合吻合的修复方式完成再植。结果本组94例128指中再植成功121指。经过6～12个月的随访,再植指有良好的外形及功能,按中华医学会手外科学会断指再植功能评定试用标准,综合评定结果为:优43指,占35.6%,良54指,占44.6%;可15指,占12.4%;差9指,占7.4%,总优良率达80%。结论特殊复杂类型断指再植经针对性手术方法,多数断指可恢复良好的外形及功能。

Objective To study how to raise success rate of replantation of complex disjunct fingers and how to improve postoperative function of fingers. Methods The replantation used regressive method by replanting blood-vessels, nerves, tendons and some cases used repair mode of diversify composed blood-vessel anastomose. Results One hundred and twenty one fingers in 94 cases were followed up for 6 to 12 months. The shape and function of replanted fingers were in good conditions. Conclusion Though the replantation of complex disjunct fingers were in good shape and function can be obtained by pertinent operative treatment.