摘要
目的:研究掌侧动脉静脉化血管吻合在末节断指再植中的应用。方法:选取2022年3月—2023年3月清远市人民医院收治的70例手指末节离断患者作为研究对象。根据随机数表法将其分为对照组及观察组,各35例。对照组采用背侧静脉血管吻合方式实施断指再植治疗,观察组采用掌侧动脉静脉化血管吻合方式实施断指再植治疗。比较两组断指成活情况、断指功能、疼痛程度、并发症、断指血运。结果:两组断指成活情况比较,差异无统计学意义(P>0.05)。观察组优良率高于对照组,差异有统计学意义(P<0.05)。观察组氧饱和度、经皮氧分压均大于对照组,断指微循环检测值、毛细血管充盈时间明显低于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。术后6 h、12 h、24 h,观察组视觉模拟评分法(visual analogue scale,VAS)评分低于对照组,差异有统计学意义(P<0.05)。结论:掌侧动脉静脉化血管吻合和背侧静脉血管吻合均可以获得较高的成活率,但相比较而言,掌侧动脉静脉化血管吻合在末节断指再植中的临床效果显著,更有利于减轻患者的疼痛程度,改善断指的血运情况,促进断指功能的恢复,且安全可靠。
Objective:To study the application of palmar artery venous blood vessel anastomosis in replantation of end severed finger.Method:Seventy patients with finger end amputation admitted to Qingyuan City People's Hospital from March 2022 to March 2023 were selected as the study objects.They were divided into control group and observation group according to random number table method,35 cases in each group.The control group was treated with replantation of severed finger of dorsal venous blood vessel anastomosis and the observation group was treated with replantation of severed finger of palmar artery venous blood vessel anastomosis.The severed finger survival condition,severed finger function,pain degree,complications and blood flow of severed finger were compared between the two groups.Result:There was no significant difference in the survival of severed finger between the two groups(P>0.05).The excellent and good rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The oxygen saturation and transcutaneous oxygen partial pressure in the observation group were higher than those in the control group,and the microcirculation detection value and capillary filling time were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).At 6 h,12 h and 24 h after operation,visual analogue scale(VAS)scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Both palmar artery venous blood vessel anastomosis and dorsal venous blood vessel anastomosis can achieve higher survival rates.However,in comparison,palmar artery venous blood vessel anastomosis has significant clinical effect in the replantation of end severed finger,which is more beneficial to reduce the pain degree of patients,improve the blood flow of the end severed finger,promote the recovery of the function of the end severed finger,and is safe and reliable.
作者
李健华
LI Jianhua(Qingyuan City People's Hospital,Qingyuan 511500,China)
出处
《中外医学研究》
2024年第13期128-131,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
掌侧动脉静脉化血管吻合
背侧静脉血管吻合
末节断指
断指再植
Palmar artery venous blood vessel anastomosis
Dorsal venous blood vessel anastomosis
End severed finger
Replantation of severed finger
