CAJ | 학술논문

目的探讨末节不同区域断指再植的治疗方法与临床效果。方法对于手指末节断指再植，需要尽可能多地吻合血管或吻合一条动脉及一条静脉或吻合一条动脉加拔甲、小切口放血滴肝素等方法处理，恢复断指血液循环。结果本组52例成活45例，部分坏死4例，完全坏死3例，成活率86.5％，成活患指外形及功能接近正常，疗效满意。结论手指末节离断伤断指再植是在恢复患指正常解剖的基础上重建血液循环，其目的是达到恢复再植手指的外观及其功能。
목적탐토말절불동구역단지재식적치료방법여림상효과。방법대우수지말절단지재식，수요진가능다지문합혈관혹문합일조동맥급일조정맥혹문합일조동맥가발갑、소절구방혈적간소등방법처리，회복단지혈액순배。결과본조52례성활45례，부분배사4례，완전배사3례，성활솔86.5％，성활환지외형급공능접근정상，료효만의。결론수지말절리단상단지재식시재회복환지정상해부적기출상중건혈액순배，기목적시체도회복재식수지적외관급기공능。
Objective To explore the clinical effect of treatment with different regions of the distal severed finger replantation. Method For finger replantation of severed ifnger, need as much as possible vascular anastomosis or anastomosis of one artery and one vein or artery anastomosis with a nail, small incision on blood heparin treatment, recovery of ifnger blood circulation. Results The 52 cases survived in 45 cases, 4 cases of partial necrosis, 3 cases of complete necrosis, the survival rate was 86.5%, survival ifnger appearance and function to near normal, curative effect satisfaction. Conclusion The ifngertip amputation replantation is in the recovery of affected based on normal anatomical reconstruction of blood circulation, the purpose is to achieve the appearance and functional recovery of replanted ifnger.