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手指小组织块离断再植的临床体会
引用本文:刘育杰,丁小珩,焦鸿生,方光荣,张宏勋,屈志刚,姜凯.手指小组织块离断再植的临床体会[J].中华显微外科杂志,2010,34(6):109-112,后插3.
作者姓名:刘育杰  丁小珩  焦鸿生  方光荣  张宏勋  屈志刚  姜凯
作者单位:山东省青岛市解放军第四○一医院全军手外科中心,青岛,266071;
摘    要:目的 探讨手指小组织块离断后再植的手术方法和治疗效果.方法 对手指不同部位小组织块离断20例26指,采用血管直接吻合、桥接吻合、动脉静脉化、静脉动脉化等多种血运重建方式进行原位再植.结果 再植组织块完全成活25指,部分坏死1指,经过换药后痊愈.术后随访6~12个月,再植指屈伸功能良好,外形满意.结论 对手指不同部位小组织块离断,采用显微外科重建技术原位再植,能获得较好的临床疗效.

关 键 词:手指    组织块    再植    

Replantation methods of mini tissue mass of amputated finger
LIU Yu-jie,DING Xiao-heng,JIAO Hong-sheng,FANG Guang-rong,ZHANG Hong-xun,QU Zhi-gang,JIANG Kai.Replantation methods of mini tissue mass of amputated finger[J].Chinese Journal of Microsurgery,2010,34(6):109-112,后插3.
Authors:LIU Yu-jie  DING Xiao-heng  JIAO Hong-sheng  FANG Guang-rong  ZHANG Hong-xun  QU Zhi-gang  JIANG Kai
Abstract:Objective To investigate the replantation methods and outcomes of mini tissue mass of amputated finger. Methods Twenty-six fingers of 20 patients were replanted with multiple vessel anastomosis methods to restore blood supply.The methods include vascular anastomosis,vascular bridge,arteriovenolization,veno-arteriolization,et al. Results Twenty-five replanted tissues were survived completely.Partly necrosis occur in 1 case,and rehabilitation by change dressings.The patients were follow up from 6 to 12 months.The contour and function of the replantation fingers recovered satisfactory. Conclusion By using the rational anastomosis according to the traumatic condition,it could be obtain good outcome of mini tissue mass replantation
Keywords:FingerTissue massReplantation
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