摘要
手指背侧损伤较重的断指再植,因指背静脉挫伤重不能吻合,未节断指无可供吻合的指背静脉,以往将此类断指列为再植之禁忌。我们对40指小儿尸体手指指掌侧浅静脉进行了显微解剖,在此基础上,对临床40指不能吻合指背静脉的断指实施了吻合指掌侧浅静脉的再植,成活36指,失败4指,成活率91%。由于指掌侧浅静脉口径粗,解剖较恒定,吻合后通畅率高。本研究提供了指掌侧浅静脉的显微解剖学数据和临床应用经验。
AbstractSometimes,due to the severe injuries of thedorsal digital veins which could not be anastomosed,the severde digits were not replanted. The authors hadstudied the anatomy of the superficial palmar digitalveins in 40 cases of cadaver children specimens and hadfound out that the superficial palmar digital veins had alarger diameter,a comparatively definite path, andcould be esaily used in anastomosis,The authors thenreplanted 40 cases of severed digits,of which thetiorsal digital veins could not be used for anastomosis;in such circumstances, the superficial palmar digtialveins were usedinstead.The result was survival in 36cases and only 4 failures. The anatomy of thesuperficial palmar digital vein was sketched in thisarticle.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第6期330-332,共3页
Chinese Journal of Orthopaedics