摘要
目的探讨甲根部以远的断指再植的方法并进行疗效分析。方法报告116例121指甲根部以远的断指再植,多数采用仅吻合一条指动脉和一条指神经,术后配合指端小切口放血和肝素钠湿敷。结果成活113指,失败8指,成活率近94%。结论只要远端指体完整且有可吻合的指动脉,甲根平面以远的手指完全或不完全离断伤,均应再植,同时吻合1～2条指神经,成活后外形及功能恢复满意。
Objective To explore the method and effects of replantation of fingers cut off beyond nail root. Methods 116 patients with 121 fingers cut off beyond nail root were treated with replantation. In most of the operations, only one digital artery and one digital nerve were anastomosed. After operation blood letting through short incision was conducted and hydropathic compress of the heparin sodium was applied. Results 113 fingers survived, and 8 failed. The survival rate was roughly 94%. Conclusions When the finger tip that has been totally or partially cut off beyond the plane of nail root is complete and keeps a digital artery, replantation should be done. If one or two digital nerves are anastomosed, satisfactory appearance and function can be achieved after the finger tip survives.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第10期1192-1193,共2页
Chinese Journal of Orthopaedic Trauma
关键词
手损伤
甲根
指损伤
再植术
显微外科
Hand injury
Shield roots
Finger injury
Replantation
Microsurgery
