吻合血管组织移植在创伤与修复外科的临床应用

目的：探讨吻合血管组织移植在创伤与修复外科临床应用经验。方法：1986年以来行吻合血管组织移植127例，其中各种皮瓣或肌皮瓣60例，骨皮瓣移植6例，骨或半关节移植15例，足趾移植拇手指再造35例41指，趾甲皮瓣修复拇，指末节6例，趾关节移植修复指间关节2例，空肠或结肠移植重建咽食道3例。结果：2例皮瓣坏死，余均成活，效果良好。结论：以皮支血管为蒂的皮瓣移植、肌腱穿皮瓣组合移植，血管的端－侧或端－残支吻合、指－趾或跖血管吻合的应用使组织移植更为精确。

The clinical application of vascular pedicled tissue transplantation in the trauma and reparative surgery

Objective:To investigate the clinical application of vascular pedicled tissue transplantation in the trauma and reparative surgery Methods:127 cases of vascularised tissue transplantation were performed with micro-surgical technique,60 cases with free flaps and myocutaneous flaps,6 cases with osteocuta-neous flaps, 15 cases with bone and semi-joint bone, toe-to-hand transfer 35 cases with 41digits,nail skin flap of toe for reconstruction of distal segment of thumb or finger 6 cases, toe joint transfer for reconstruction of in-terphalangeal joint in 2 cases and jejunum or colon transplantation for esophageal reconstruction in 3 cases. Results:All the cases were successful except 2 flaps necrosed. Conclusion:Flap transplantation with branches of blood vessel as pedicel, faciocutaneous flap with tendon graft tunnel through fascia-layer, end to lateral vessel anastomosis are useful and exact for surgical repair and tissue graft.