CAJ | 학술논문

目的探讨指尖完全离断无修复静脉条件时,只用单一修复动脉的方法再植的成活率.方法指尖(掌侧螺纹中心以远)完全离断再植时,在无行静脉回流重建条件的情况下,只单一修复动脉13例,术后常规使用低分子量肝素抗凝,部分病例行再植指侧方切开放血或甲床放血,观察再植指成活情况.结果成活12指,1例失败.术后随访3～12个月,再植指外形饱满,两点辨别觉为2～7 mm,运动功能正常.结论指尖因组织量小,自身静脉回流建立较快,只用单一修复动脉的方法再植也可成活.根据病情,采用再植指侧方切开放血或甲床放血,可提高指尖再植的成活.
목적 탐토지첨완전리단무수복정맥조건시,지용단일수복동맥적방법재식적성활솔.방법 지첨(장측라문중심이원)완전리단재식시,재무행정맥회류중건조건적정황하,지단일수복동맥13례,술후상규사용저분자량간소항응,부분병례행재식지측방절개방혈혹갑상방혈,관찰재식지성활정황.결과 성활12지,1례실패.술후수방3～12개월,재식지외형포만,량점변별각위2～7 mm,운동공능정상.결론 지첨인조직량소,자신정맥회류건립교쾌,지용단일수복동맥적방법재식야가성활.근거병정,채용재식지측방절개방혈혹갑상방혈,가제고지첨재식적성활.
Objective To investigate the replantation of complete severed fingertip when vein can't be repaired and only artery be repaired. Methods All 13 cases complete severed fingertips were replantated with only artery anastomosis but vein cannot be repaired.Low molecular weight heparin was applied to prevent blood clotting postoperation. Blood-letting by nail extraction or latero-incision were done in some cases.The survival fingers were observed. Results After 3-12 months followed-up,12 cases survived with satisfactory appearance and locomotion,2-PD of 2-7 mm,but 1 case was failed. Conclusion The replanted fingertip may survival with only artery anastomosis because of fewer tissue and faster recontruction of venous return.It would raise the survival rate of replanted fingertip by blood-letting by nail extraction or latero-incision according to the traumatic condition.