顺血流嵌入套接吻合法在断指再植中的应用效果

The Effect of Embedding Anastomosis along Blood Stream in Replantation of severed Finger

目的探讨顺血流嵌入套接吻合法在断指再植中的应用效果。方法对2000年2月至2018年1月在中国人民解放军联勤保障部队第967医院进行断指再植的180例患者进行回顾分析,根据治疗方式不同分为两组,各90例。对照组给予端吻合术治疗,观察组给予顺血流嵌入套接吻合法治疗。记录两组术后3 d的血运情况(毛细血管充盈时间、张力正常率、颜色正常率);术后随访1年,记录两组再植指成活率。结果观察组术后3 d的毛细血管充盈时间显著短于对照组,张力正常率、颜色正常率显著高于对照组,差异显著(P<0.05)。术后随访1年,观察组的再植指成活率(98.9%)显著高于对照组(86.7%),差异显著(P<0.05)。结论在断指再植中应用顺血流嵌入套接吻合法能改善断指的血运情况,提高断指成活率。

Objective To investigate the clinical effect of replantation of amputated finger by embedding anastomosis in blood stream.Methods From February 2000 to January 2018,180 patients with replantation of amputated finger in the 967th Hospital of People's Liberation Army were analyzed retrospectively.The control group was treated by end-to-end anastomosis,and the observation group was treated by embedding anastomosis in the blood stream.The filling time,the normal rate of tension and the normal rate of color were recorded at capillary.The survival rate of replanted fingers was recorded after 1 year followup.Results The time of capillary filling was significantly shorter in the observation group than that in the control group,and the normal rate of tension and color were significantly higher than that in the control group(P<0.05).After one year followup,the survival rate of replanted fingers in the observation group(98.9%)was significantly higher than that in the control group(86.7%),the difference was significant(P<0.05).Conclusion It can improve the blood circulation and survival rate of severed finger to use the method of embedding anastomosis in the blood stream in replantation.