摘要
目的：研究获得足趾移植成活的因素。方法：通过４６４例５１１趾移植，其中第２趾近节以远移植８０例，第２或第２、３趾带足背皮瓣移植２１４例，其余为单纯第２趾，第２、３趾及甲皮瓣移植１７０例。结果：足趾移植全部成活，随访再造的拇、手指均获较好的功能。结论：严格无创伤性操作，防止足趾切取时血管的创伤或误伤；精确无误的显微血管吻合，保证吻合口通畅；彻底解除足趾离体后血管的痉挛等是获得足趾移植成活的关键。
Objective:To study the survival factors of the toe transplantation Methods:464 cases of toe transplantation with 511 toes were performed,including second toe’s distant end from the proximal phalanx transplantation in 80 cases,second or second and third toe with dorsal skin flap of foot transfer in 214 cases,the rest single second toe sceond and third toe and hallux nail flap transplantation in 170 cases Results:All the cases of toe transplantation survived The follow up confirmed that toe transplantaion was a satisfactory method for thumb and finger reconstruction Conclusion:Preventing trauma or accidental injury of blood vesssels with strict non traumatic manipulation during resecting toes,guaranting anastomotic stomas unobstructed with an accurate microvascular anastomosis and relieving the vasospasm of isolated toes absolutely are the key factors to keep toe transplantation alive
出处
《中华显微外科杂志》
CSCD
北大核心
1997年第3期186-188,共3页
Chinese Journal of Microsurgery
