| 仅吻合指端动脉弓分支指尖离断再植 |
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| 引用本文： | 廖坚文,张振伟,陈泽华,庄加川,关助明,余少校,李征. 仅吻合指端动脉弓分支指尖离断再植[J]. 中国医学文摘:老年医学, 2009, 0(2): 118-120 |
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| 作者姓名： | 廖坚文 张振伟 陈泽华 庄加川 关助明 余少校 李征 |
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| 作者单位： | 深圳市沙井人民医院（广州医学院附属深圳沙井医院）手外科,广东省518104 |
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| 基金项目： | 基金项目：深圳市科技计划项目立项课题（编号：200603061）;深圳市宝安区科技计划项目立项课题（编号：2006015） |
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| 摘 要： | 目的报道仅吻合指端动脉弓分支指尖离断再植的临床效果。方法对24例无可供吻合静脉的甲中段以远指尖离断，应用仅吻合指端动脉弓分支的方法再植，术后不常规行小切口或拔甲放血。结果成活22例，成活率为91．6％。随访6-24个月，再植指指体饱满，两点辨别觉4-7mm，外观及功能满意。结论甲中段以远指尖离断，仅吻合指端动脉弓分支再植术后效果良好。
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| 关 键 词： | 指尖 离断伤 再植 治疗结果 |
Replantation of amputated fingertip by anastomosing only the branches of the terminal digital arterial arch |
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| Affiliation: | LIAO Jian-wen, ZHANG Zhen-wei, CHEN Ze-hua, et al.( Department of hand surgery, the Shenzhen Sharing Affiliated Hospital of Guangzhou Medical College, Shenzhen 518104,China) |
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| Abstract: | Objective To report the clinical effect of replantation by anastomosing only the branches of the terminal digital arterial arch. Methods Twenty-four fingertips amputated in the zone distal to the middle nail and without anastomosable vein were replanted. By anastomosed only the branches of the terminal digital arterial arch, and without adopted postoperative bloodletting. Results Twenty-two replanted fingertips survived, the survival rate was 91.6%. During the follow-up 6 months to 24 months, the 22 replanted fingertips survived with satisfactory shape and function, the sensation of discrimination between two points was 4-7mm. Conclusion The curative effect of replantation of the amputated fingertips distal to middle nail with anastomosing only the branches of the terminal digital arterial arch was satisfactoyr. |
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| Keywords: | Fingertip Amputation Replantation Treatment outcome |
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