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探讨影响断指再植成活率的因素 被引量:11

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摘要 目的研究分析影响断指再植成活率的因素,进一步为临床提高成活率提供有价值的参考。方法回顾性分析72例断指再植患者的临床资料,对年龄、性别、离断程度、断指数量、热缺血时间、保存方法、受伤水平、静脉嫁接以及输血等影响因素进行单因素分析,然后将有意义的单因素归入多因素Logistic回归分析,研究影响断指再植成活率的独立危险因素。结果 72例患者再植指88指,再植成功63例,成功率为87.5%,再植成功指数为75指,成功率为85.2%。进一步分析影响再植成活率各种因素,发现年龄、受伤水平、热缺血时间、保存方法、静脉嫁接与再植成活率相关(P<0.05),而性别、离断程度、断指数量、血栓形成、输血因素等与再植成活率无相关性。采用Logistic回归分析可知,年龄、静脉嫁接以及热缺血时间是影响再植成活率的独立危险因素(P<0.05)。结论断指再植成功率会受到年龄、受伤水平、热缺血时间、保存方法、静脉嫁接等各种因素的影响,应该重视手术前、中、后的评估工作,尽最大限度避开上述危险因素,提高再植成活率。 Objective To study the factors that inlfuence the survival rate of replantation and provide valuable reference for clinical to improve survival rate.Methods Clinical data of 72 patients with replantation were analyzed retrospectively. Single factor analysis were adopted to analyze inlfuence factors including age, gender, the degree of mutilation, number of amputation, warm ischemia time, save method, injury level, vein graft and blood transfusion, and then meaningful single factor will be analyzed in multi-factor logistic regression analysis to ifnd out independent risk factors affecting the survival rate of replantation.Results 88 ifngers were replanted among 72 patients. Replantation was successful among 63 patients, and survival rate was 87.5%. 75 ifngers were replanted successfully, and survival rate was 85.2%. Further analysis of various factors affecting the survival rate of replantation showed that age, injury level, warm ischemia time, save method, vein graft were related to survival rate of replantation (P〈0.05), while gender, degree of mutilation, number of amputation, thrombosis, blood transfusion factors have no impact on the survival rate of replantation. Logistic regression analysis shows that age, vein graft and warm ischemia time are independent risk factors affecting the survival rate of replantation (P〈0.05).Conclusion The success rate of replantation is will be affected by age, injury level, warm ischemia time, save method, vein graft. Great importance should be attached to the assessment before, during and after the operation to avoid the risk factors and improve the survival rate of replantation.
作者 张金年
出处 《当代医学》 2015年第1期64-65,共2页 Contemporary Medicine
关键词 断指 再植成活率 因素 LOGISTIC回归分析 Amputation Survival rate of replantation Factors Logistic regression analysis
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