摘要
目的探讨不同血管重建方法在显微镜下断指再植术治疗末节断指患者中的应用价值。方法选取2020年2月至2024年7月间漯河市第二人民医院收治的90例末节断指患者作为研究对象,基于随机数字表法将研究对象分为对照组(n=45,血管重建方法:动脉吻合),研究组(n=45,血管重建方法:静脉动脉化),分析其在围手术期情况、末节断指恢复情况、生活质量情况以及并发症情况方面的差异性。结果两组手术时间、术中出血量比较,差异无统计学意义(P>0.05);研究组创口愈合时间短于对照组,再植成活率高于对照组,差异有统计学意义(P<0.05)。研究组患指指甲长度长于对照组,再植指两点辨别觉短于对照组,差异有统计学意义(P<0.05)。术后6个月,两组健康调查简表(SF-36)各项评分均较术前升高,且研究组高于对照组,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)。结论在显微镜下断指再植术治疗末节断指患者中,应用静脉动脉化进行血管重建的优势较为理想,能够改善创口愈合时间及再植成活率,促进末节断指恢复,提升生活质量,具有一定安全性,具有临床应用意义。
Objective To investigate the clinical value of different vascular reconstruction methods in microsurgical digit replantation for patients with distal fingertip amputation.Methods A total of 90 patients with distal fingertip amputation treated at Luohe Second People’s Hospital between February 2020 and July 2024 were enrolled.Using a random number table method.the patients were assigned to a control group(n=45;vascular reconstruction by arterial anastomosis)and a study group(n=45;vascular reconstruction by venous arterialization).Differences between the two groups were analyzed with respect to perioperative parameters.recovery outcomes of the replanted distal fingertip.quality of life.and complications.Results There were no statistically significant differences between the two groups in operative time or intraoperative blood loss(P>0.05).The study group had a shorter wound-healing time than the control group and a higher replantation survival rate.with statistically significant differences(P<0.05).The replanted digits in the study group had longer nail length and a shorter twopoint discrimination distance than those in the control group.and the differences were statistically significant(P<0.05).At 6 months postoperatively.all domain scores of the 36-Item Short Form Health Survey(SF-36)increased in both groups compared with baseline;the study group achieved higher scores than the control group.with statistically significant differences(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion In microsurgical digit replantation for distal fingertip amputation.venous arterialization as a vascular reconstruction method demonstrates favorable advantages.It can shorten wound-healing time.improve replantation survival.promote functional recovery of the distal fingertip.and enhance quality of life.and it may also help optimize postoperative complication outcomes to some extent.indicating clinical applicability.
作者
龚俊武
闫纪涛
刘东博
GONG Junwu;YAN Jitao;LIU Dongbo(Department of Microsurgery,Luohe Second People’s Hospital,Luohe Henan 462000,China)
出处
《临床研究》
2026年第2期79-82,共4页
Clinical Research
关键词
血管重建方法
显微镜
断指再植术
末节断指
并发症
vascular reconstruction method
microscope
digit replantation
distal fingertip amputation
complications
