手指复合小组织块离断再植的研究

The study of amputated finger complex mini tissue mass replantation

目的 探讨手指复合小组织块离断再植的手术方法及临床效果。 方法 对 16例 17指不同部位的复合小组织块离断伤采用多种血管重建技术进行再植。 结果 完全成活 15指 ,1指大部成活 ,1指坏死。术后随访 6～ 2 4个月 ,成活手指外形与功能恢复满意。 结论 对手指的复合小组织块离断伤只要指体完整且能找到可供吻合的血管 ,应争取再植。

Objective To investigate the operative methods and treatment outcomes of replantation of amputated complex mini tissue mass of the fingers Methods Seventeen severed complex mini mass in 16 cases were replanted with microsurgery technique using different revascularization procedures Results Fifteen replanted masses were survived completely,proximal partial skin margin necrosis in 1 case,only one case was failure Both function and appearance in surviving replantations were excellent after 6～24 months follow up Conclusions Replantation of amputated complex mini tissue mass of the fingers is rewarding as long as the mass remained intact and the vessels for anastomosis could be found