摘要
目的:报道术中预防断指再植静脉危象的措施。方法:采用逆行法再植、吻合指掌侧静脉、选择正确克氏针出点、尽可能多的吻合静脉、适当调配药物应用和伤口内置放橡皮片引流等措施,预防或减少断指再植静脉危象发生。结果:临床共应用89例135指,成活129指(95.6%),术后发生静脉危象者9指(6.7%)。结论:既往断指再植静脉危象发生率为15.6%,本组仅为6.7%,表明应用措施切实有效。
Objective:To report the measures of preventing vein crisis during replantation of finger amputation.Methods:Reverse method of replantation,anastomosis of palm veins of finger,selec- tion the right outing point of Kirsehner wire,anastomosed the vein as many as possible,used drugs properly and putting rubber drain in the wound.Result:The measures were used in 135 fingers of 89 cases,129 fingers survived(95.6%).Vein crisis took place in 9 fingers(6.7%).Conclusion:The rate of vein crisis was 15.6% in replantation of finger amputation before,the rate was 6.7% in this group now.It was demonstrated that all the measures were effective.
出处
《中华显微外科杂志》
CSCD
北大核心
1998年第1期26-27,共2页
Chinese Journal of Microsurgery
