摘要
目的探讨断指再植的手术治疗经验及对可能造成的失误原因采取相应的防治对策。方法回顾性分析2009-2012年间我院治疗的断指再植患者127例共150指的临床资料,并对术后疗效进行评价,观察术后出现坏死及血管危象等情况。结果本组患者按照中华医学会断指再植功能评定试用标准,优80指,良52指,差18指,优良率达88%。术后出现血管危象22指,为14.7%。术后出现坏死共10例,成活率92.1%。结论影响断指术后成活的因素较多,临床医生应根据可能造成的失误原因采取相应防治对策,才能提高断指再植的成活率。
Objective To study the treatment experience of digital replantation and to take corresponding prevention countermeasures to the possible causes of the failure. Methods To retrospectively analyze the clinical data and to evaluate the postoperative curative effect of the 127 patients with finger replantation with 150 fingers cure in our hospital from 2009 to 2012.To observed the situation of necrosis and vascular crisis after operation. Results According to the evaluation trial standard of digital replantation function of Chinese Medical Association, the excellent and good rate was 88% with 80 excellent fingers,52 good fingers and 18 bad fingers.After the operation,the incidence rate of vascular crisis was 14.7% with 22 fingers,the survival rate was 92.1% with 10 necrosis. Conclusion Through the corresponding prevention countermeasures to the unsuccessful factors in major factors affecting of postoperative survival of digital replantation,to improve the survival rate of digital replantation.
出处
《中国医药科学》
2015年第2期154-155,168,共3页
China Medicine And Pharmacy
关键词
断指再植
血管危象
坏死
Digital replantation
Vascular crisis
Necrosis
