摘要
目的通过与传统指腹静脉动脉化再植比较,探讨指侧方静脉动脉化于末节断指再植中应用的可行性及疗效。方法回顾性分析2006年3月至2012年4月间行指侧方静脉动脉化再植断指20例患者的临床资料(试验组),并于同期采用指腹静脉动脉化再植14例的临床结果(对照组)进行比较。结果试验组与对照组比较,其成活率明显提高(100%vs.71.4%);指甲长度增加(15.6±2.7 mm vs 11.9±2.2 mm);DIPJ活动度增加(62±4°vs 45±3°);指感觉测定增加(S3+vs S3);两点辨别觉减小(4.6±0.3mm vs7.4±0.6 mm);指关节活动优良率增加(94.4%vs 77.8%);组间比较差异有统计学意义(P<0.05)。结论指侧方静脉动脉化有效克服了指腹静脉动脉化的解剖局限性,能提高再植指成活率,促进指甲生长及感觉恢复,增强DIPJ活动度,为正常供血多次失败后的末节断指提供了一种有效的补救方法。
Objective To explore the effectiveness of veno-arteriolization of finger lateral vein for repairing severed finger tips by comparing with veno-arteriolization of finger pulp vein. Methods From March 2006 to April 2012, 20 patients underwent veno-arteriolization of finger lateral vein （20 fingers, trial group）. 14 patients underwent veno-arteriolization of the finger pulp vein （14 fingers, control group）, Clinical data and surgical outcomes were compared retrospectively. Results All patients survived completely in trial group. The survival rate in the trial group was higher than in the control group （100% vs 71.4%）; the postoperative length of nail was greater in the trial group （15.6±2.7 mm vs 11.9±2.2 mm）; the motion of DIP joint was greater in trial group （62°±4° vs 45°±3°）. The sensation restoration in the trial group was greater in trial group （$3± vs $3）; the excellent and good rate of interphalangeal activity was greater in the trial group （94.4% vs 77.8% ）. There was statistical significance between the two groups （P〈0.05）. Conclusion The veno-arteriolization of finger lateral vein is a valuable method for repairing severed finger tips, which can promote growth of the nail, and restore motion and sensation of fingers.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2014年第6期725-728,共4页
Chinese Journal of Clinical Anatomy
基金
江苏省科技计划重点资助项目(BS2007054)
南京军区科技创新重点资助项目(07Z028)
关键词
静脉动脉化
修复外科手术
断指再植
Veno-arteriolization
Reconstructive surgical procedures
Replantation of severed finger
