断肢再植术中血运的临时重建

Temporary Revascularization of Limb Replantation

目的探讨在断肢再植术中采用临时血运重建的方法以缩短断肢缺血时间,促进断肢功能恢复的可行性。方法在断肢再植术中使用各种导管先行临时血运重建,然后再按常规方法行再植术,并与单纯按常规法行再植术进行客观指标的统计比较。结果术中采用临时血运重建方法疗效满意,优于常规手术方法。结论在断肢再植术中采用血运临时重建方法具有临床实用性,对恢复断肢功能具有重要价值。

Objective To study the feasibility of adopting temporary revascularization during the course of limb replantation in order to shorten ischemia time and accelerate functional restoration of the severed limb. Methods Temporary revascularization was firstly established with various kinds of canals before the routine replantation was conducted. A statistical comparison of objective indexes was carried out between the revascularization method and the routine method. Results The method of adopting temporary revascularization during the course of limb replantation resulted in more satisfactory clinic effects than the routine method. Conclusion Temporary revascularization during the course of limb replantation plays an important role in accelerating functional restoration of the severed limb, and therefore is practically recommendable in clinics.