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仅吻合一侧指动脉的甲根部断指再植25例
引用本文:刘学贵,黄卫东,徐基农,祁雄峰,张铭盛. 仅吻合一侧指动脉的甲根部断指再植25例[J]. 中华创伤骨科杂志, 2004, 6(2): 236-236
作者姓名:刘学贵  黄卫东  徐基农  祁雄峰  张铭盛
作者单位:1. 广东省南海市狮山华立医院手外科
2. 510095,广州市恒生手外科医院
3. 510000,广东省东莞市太平人民医院手外科
摘    要:目的 介绍甲根部断指再植的一种方法。方法 对甲根部平面离断的25例病人,采用吻合一侧动脉,吻合口以远动脉弓发出的分支分别结扎,保留一条较细中央分支,不行静脉吻合或动脉静脉化。结果 25例中24例再植成活,1例坏死,成活手指外观、功能好。结论 只吻合一侧动脉、不吻合指腹静脉、吻合口以远动脉弓发出的分支分别结扎保留1条较细中央分支的断指再植方法,手术省时、有效。

关 键 词:断指再植术 甲根部 血管吻合 手术方法 显微外科
文章编号:1671-7600(2004)02-0236-01
修稿时间:2002-12-19

Replantation with anastomosis of one artery in 25 digits severed at the level of nail root
LIU Xue-gui,HUANG Wei-dong,XU Ji-nong,QI Xiong-feng,ZHAN G Ming-sheng. Guangzhou Hengsheng Hand Surgery Hospital,Guangzhou ,China. Replantation with anastomosis of one artery in 25 digits severed at the level of nail root[J]. Chinese Journal of Orthopaedic Trauma, 2004, 6(2): 236-236
Authors:LIU Xue-gui  HUANG Wei-dong  XU Ji-nong  QI Xiong-feng  ZHAN G Ming-sheng. Guangzhou Hengsheng Hand Surgery Hospital  Guangzhou   China
Affiliation:LIU Xue-gui,HUANG Wei-dong,XU Ji-nong,QI Xiong-feng,ZHAN G Ming-sheng. Guangzhou Hengsheng Hand Surgery Hospital,Guangzhou 510095,China
Abstract:Objective To introduce a method for replantation of severed digit at the level of nail root. Method In treatment of 25 digits severed at the nail root, we conducted anastomosis of one artery and two nerves but not anasto mosis of veins. Only one central branch was reserved, with other branches from t he arch of digital artery being ligated. Results Of the 25 replanted digits, 24 survived and one failed .The survivals had good appearance and function. Conclus ion Anastomosis of one artery and two nerves without anastomosis of veins is an easy and effective method for replantation of severed digit at the level of nail root.
Keywords:Severed digit  Replantation  Distal phalanges  
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