挤压性断指再植的几个技术问题探讨

Study on Several Technical Problems of Extruded Amputated Finger Replantation

目的探讨研究挤压性断指再植的几个技术问题。方法选取该院2016—2017年68例85指接受挤压性断指再植的病例为研究对象。结果 85个断指中有80个断指成活,成活率达94.1%,在这68例患者中,有45例得到随访,随访时间为7个月～3年,患者运动、感觉、日常生活活动、外观、恢复工作情况和血液循环状态的优良率达到93.3%。结论对于挤压性断指来首,只要其手指外形没有被完全破坏,在远端可以看到温和的血管,则可以通过血管神经束转位、静脉皮瓣转移以及血管移植等方法,对其进行再植修复,且再植成活率比较高。

Objective To study several technical problems of extruded amputated finger replantation.Methods 68 cases of patients with extruded amputated finger replantation(85)in our hospital from 2016 to 2017 were selected as the research objects.Results Of 85 sever hands,80 survived,and the survival rate reached 94.1%,of 68 cases,45 cases were followed up,for 7 months to 3 years,and the excellent and good rates of motor,feeling,activities of daily living,appearance,recovery,and blood circulation state reached 93.3%.Conclusion If the finger shape is not completely destroyed and the mild vessel can be seen in the distance,we can conduct the replantation repair by means of vascular nerve bundle transposition,venous flap transfer and vascular transplantation,and the replantation survival rate is higher.