特殊断指再植患者30例临床治疗分析

目的：探讨特殊断指再植患者的临床治疗。方法对2010年6月～2011年6月广东省深圳市龙岗区骨科医院收治的30例特殊断指患者的临床资料进行分析，据断指类型分别采取末节挤压离断指再植、脱套性与撕脱性离断的再植、多段离断再植方法治疗。结果对照组患者再植指总成活数为11，LMWH组患者再植指总成活数为14%，2组再植指总成活率分别为73.33%与93.33%，差异有统计学意义（χ2=3.700，P=0.032）。结论应严格根据特殊类型断指的适应证采取适宜的方法再植，以提高再植指的成活率。

Objective To investigate the specific clinical efficacy of replantation of severed finger. Methods From June 2010 to June 2011,general data of 30 patients with severe special ifnger admitted to our department were analyzed and appropriate method of treatment were taken determined by the type of ifnger replantation. Results The results showed that the total survival rate of replantation in the control group was 73.33%, LMWH group was 93.33%,the difference was signiifcant （χ2=3.700,P=0.032）.Conclusion Appropriate approach should be strictly taken according to the special type of ifnger indications for replantation to improve the survival rate of replanted ifngers.