摘要
目的 探讨在常规指动脉多次吻合失败后行静脉动脉化或远端动脉挫伤严重无法吻合进行静脉动脉化的疗效.方法 自2010年10月至2013年12月,我们采用静脉动脉化治疗损伤严重的复杂断指30例,在再植手术中采用静脉动脉化进行非生理性物质交换,成功挽救离断指.结果 30例断指中,完全成活25例,3例失败,2例部分皮肤坏死,经3周换药后愈合.结论 静脉动脉化为正常方法失败后或远端血管缺损无动脉吻合提供了一种有效的方法.
Objective To explore the effect of venous arterializations in replantation of amputated finger by vascular anastomosis after multi-failure of arteria digitalis anastomosis or damage of distal arteries which could not carried out the anastomosis. Methods From October, 2010 to December, 2013, 30 patients who suffered from complex severed finger were treated with replantation of amputated finger by the method of venous arterializations. Results Of 30 cases, 25 cases survived, 3 cases failed and 2 cases were with part skin necro- sis which covered by dressing for 3 weeks. Conclusion Venous arterialization is an effective method in finger replantation after multi-failure of arteria digitalis anastomosis or damage of distal arteries which could not carried out the anastomosis.
出处
《中国美容整形外科杂志》
CAS
2015年第3期173-175,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
断指再植
静脉动脉化
血管转流
Replantation of amputated finger
Venous arterialization
Intravascular shunts
