CAJ | 학술논문

目的探讨手指小组织块离断后再植的手术方法和治疗效果.方法对手指不同部位小组织块离断20例26指,采用血管直接吻合、桥接吻合、动脉静脉化、静脉动脉化等多种血运重建方式进行原位再植.结果再植组织块完全成活25指,部分坏死1指,经过换药后痊愈.术后随访6～12个月,再植指屈伸功能良好,外形满意.结论对手指不同部位小组织块离断,采用显微外科重建技术原位再植,能获得较好的临床疗效.
목적 탐토수지소조직괴리단후재식적수술방법화치료효과.방법 대수지불동부위소조직괴리단20례26지,채용혈관직접문합、교접문합、동맥정맥화、정맥동맥화등다충혈운중건방식진행원위재식.결과 재식조직괴완전성활25지,부분배사1지,경과환약후전유.술후수방6～12개월,재식지굴신공능량호,외형만의.결론 대수지불동부위소조직괴리단,채용현미외과중건기술원위재식,능획득교호적림상료효.
Objective To investigate the replantation methods and outcomes of mini tissue mass of amputated finger. Methods Twenty-six fingers of 20 patients were replanted with multiple vessel anastomosis methods to restore blood supply.The methods include vascular anastomosis,vascular bridge,arteriovenolization,veno-arteriolization,et al. Results Twenty-five replanted tissues were survived completely.Partly necrosis occur in 1 case,and rehabilitation by change dressings.The patients were follow up from 6 to 12 months.The contour and function of the replantation fingers recovered satisfactory. Conclusion By using the rational anastomosis according to the traumatic condition,it could be obtain good outcome of mini tissue mass replantation