静脉动脉化在手指末节断指再植中的应用

目的：探讨静脉动脉化在手指末节断指再植中的应用。方法对我院2010年9月-2012年1月收治的远端无可供吻合动脉的末节和指尖40例（46指）采用静脉动脉化行断指再植。术后随访6个月-3年，根据中华医学会手外科学会断指再植功能的评定试用标准评定。结果39例成活，1例坏死；术后随访，功能恢复：优20例，良7例，差3例，优良率达90.0%。结论静脉动脉化是一种远端无可供吻合动脉的手指末节进行再植可行的治疗方法，效果可靠，值得临床推广。术后积极的系统锻炼能改善再植手指血液循环，防止关节僵硬，促进神经等方面的功能得到恢复。

Application of veno-arteriolization in fingers replantation of distal segment finger

Objective To explore application of veno-arteriolization in replantation of distal segment finger. Methods 46 fingers in 40 cases which were received and cured in our hospital from September 2010-January 2012 underwent in veno-arteriolization, the arteries were no longer fit for anastomosis. Postoperative follow-up ranged from 6 months to 3 years with 30 cases. Assessing them according to the standard functional evaluation issued by Hand Surgery Association of Chinese Medical Association. Results 39 cases were successful, while l case was thanatosis.Function recovery was graded excellent in 20 cases, good in 7 cases, fair in 3 cases. The excellent and good rate was 90.0%. Conclusions Veno-arteriolization was a feasible treatment in finger replantation of distal segment finger which arteries were no longer fit for anastomosis. Its effect is reliable, is worth popularizing in clinic. Active system of exercise after operation can improve the blood circulation in finger replantation, prevent the stiff joints, improve neurologic function of restoration.