指尖冲压性断指再植体会

Replantation of crushing severed fingertips

目的 介绍指尖冲压性离断的治疗效果和经验总结。 方法 对 85例 10 3指指尖冲压性断指进行再植。吻合指固有动脉终末端或指动脉弓分支或指固有动脉终末端与指动脉弓分支吻合 ,或动静脉转流 ,尽可能多吻合指掌侧静脉。对各类型平面的指尖离断的断指均进行再植。 结果 各型成活率分别为 : 型 83.9% , 型 72 .5 % , 型 5 7.1%。 结论 只要冲压性离断的指体仍较完整 ,清创时能找到可供吻合的血管 ,应予以再植。

Objective To introduce the experience and the treatment outcome in replantation of crushing severed fingertips Methods One hundred and three cases crushing severed fingertips of 85 patients have been replanted from July 1996 to September 2000. The anastomotic methods of arterial were as follow:anastomosis of the terminal branches of the digital artery,anastomsis of the branches of the terminal digital arterial arch. The terminal branches have been done with the branches of arterial arch,and arteriovenous anastomosisThe superficial palmar digital veins were anastomosedAnd replanted fingertips of all kinds have been studiedThe postoperative follow-up period was 1 to 27 months Results The survival rate:Ⅰ type 839%,Ⅱ type 725%,Ⅲ type 571% Conclusions Crushing severed fingertip could be replanted as long as the body of the crushing fingertip remained intact and the vessels for anastomosis could be found. Hight quality anastomosis and good venous return are crucial to the success of crushing fingertip replantation