摘要
目的探讨指尖脱套性断指再植的可行性与治疗效果。方法用美蓝或红色乳胶灌注６例无法再植的脱套性断指，对其进行显微解剖学观察。对１６例２０指指尖脱套性断指，采用逆行法进行再植，尽可能地吻合优势侧指动脉，多吻合指掌侧静脉。结果解剖观察表明：指尖脱套性断指尽管损伤较重，微血管网有破裂，但整个血管床是完整的，仍有再植的条件。再植２０指成活１８指，术后平均随访１４个月，手指外形佳，两点辨别觉为４～６ｍｍ，患者均恢复了原工作。结论只要脱套性离断的指体仍完整，清创时能找到可供吻合的血管，应尽量予以再植。
Objective To investigate the treatment outcome of replantation of degloving severed fingertips. Methods Microanatomical observation of the vessels was made by means of red latex or methylene blue perfusion of 6 degloved fingers which were not favorable for replantation. Replantation of 20 degloved fingertips of 16 patients were done. The dominant digital arteries and superficial palmar digital veins were anastomosed. All cases were followed up for an average of 14 months. Results The microanatomic observation showed that although the vascular network was injured, the vascular bed remains intact in the degloved fingertips. Of the 20 replanted degloved fingertips, 18 survived with satisfactory appearance and 2 PD of 4～6 mm. Conclusions Good treatment outcome of degloved fingertip replantation could be obtained as long as the body of the involved fingertip remained intact and the vessels for anastomosis could be found.
出处
《中华手外科杂志》
CSCD
1998年第4期207-208,共2页
Chinese Journal of Hand Surgery
关键词
断指再植术
指尖脱套伤
解剖学
治疗
Replantation Finger injuries Treatment outcome Anatomy, Regional
