激光多普勒血流仪在断指再植术后血运监测应用的效果研究

The Clinical Value of Color Doppler Blood Flow after Replantation of Severed Finger

目的:为了提高临床断指再植手术效果,分析断指再植术后彩色多普勒血流成像仪的临床应用效果价值。方法:从2016年9月至2017年9月在我院接受断指再植术治疗的60例患者中,采用随机数表法随机将其分为实验组和对照组各30例。实验组:采用激光多普勒血流成像仪监测再植肢体血运;对照组:采用传统方法监测再植肢体血运。探讨断指再植术后彩色多普勒血流成像仪的临床应用价值。结果:研究结果显示,和对照组相比观察组患者断指再植术后血管栓塞率、血管危象发生率明显降低,而断指成活率以及成活再植指术后功能恢复情况则明显增加(P>0.05)。结论:将彩色多普勒血流监测应用于断指再植术后,能够无创、实时、灵敏的反应再植指术后的血运情况,有助于及时发现各种不良事件的,提高再植成功率,效果显著,值得推广。

Objective:In order to improve the effect of clinical replantation of severed finger,the clinical value of color Doppler blood flow after replantation of severed finger was analyzed.Methods:According to the relevant requirements of the principle of random from September 2016 to September 2017 in our hospital for treatment of finger replantation patients were selected from 60 cases as the research object,according to the monitoring method of the experimental group(30 cases using laser Doppler perfusion imaging monitoring of severed limb body blood)and a control group of 30 cases(using the traditional method for monitoring blood supply,limb replantation)to explore the clinical value of color Doppler flow check after replantation of severed finger.Results:The results showed that compared with the control group,the incidence of vascular embolism and vascular crisis decreased significantly in the observation group after operation,while the survival rate of finger severed fingers and the excellent and good rate of surviving replantation fingers increased significantly(P>0.05).Conclusions:The application of color Doppler flow monitoring after finger replantation can achieve a non-invasive,realtime and sensitive response to blood supply after replantation.It helps to detect various adverse events and improve the success rate of replantation,which is worthy of promotion.