指动脉转位吻合在断指再植中的临床研究

Application of transposition anastomosis of arteria digitalis in replantation of amputated finger

目的探讨同指指动脉转位吻合在断指再植中的显微外科修复的临床效果。方法采用同指损伤平面较远的指动脉转位吻合损伤平面较近指动脉的方法对断指进行显微外科修复。结果血管缺损性断指再植30例,完全成活28例,坏死2例。术后随访6个月,按断指再植评定标准评定:优22例,良6例。结论同指指动脉转位吻合在断指再植中具有创伤小、时间短、效果好的特点,可以极大的提高断指再植的成活率。

Objective To investigate the clinical effects of microsurgical repair of transposition anastomosis of arteria digitalis in replantation of amputated finger.Methods Thirty patients with amputated fingers were treated by microsurgical repair of transposition anastomosis of arteria digitalis.Results The replantation of amputated fingers with blood vessel defect was performed in 30 patients,in whom,28 cases survived completely,2 cases had necrosis.After 6-month postoperative followup,according to the evaluation criteria for replantation of amputated finger:22 cases were excellent and 6 cases were fine.Conclusion Application of transposition anastomosis of arteria digitalis in replantation of amputated finger has the advantages of smaller trauma,shorter time and good effects,which can greatly increase the survival rate of replantation of amputated finger.