CAJ | 학술논문

目的：探讨特殊断指再植患者的临床治疗。方法对2010年6月～2011年6月广东省深圳市龙岗区骨科医院收治的30例特殊断指患者的临床资料进行分析，据断指类型分别采取末节挤压离断指再植、脱套性与撕脱性离断的再植、多段离断再植方法治疗。结果对照组患者再植指总成活数为11，LMWH组患者再植指总成活数为14%，2组再植指总成活率分别为73.33%与93.33%，差异有统计学意义(χ2=3.700，P=0.032)。结论应严格根据特殊类型断指的适应证采取适宜的方法再植，以提高再植指的成活率。
목적：탐토특수단지재식환자적림상치료。방법대2010년6월～2011년6월광동성심수시룡강구골과의원수치적30례특수단지환자적림상자료진행분석，거단지류형분별채취말절제압리단지재식、탈투성여시탈성리단적재식、다단리단재식방법치료。결과대조조환자재식지총성활수위11，LMWH조환자재식지총성활수위14%，2조재식지총성활솔분별위73.33%여93.33%，차이유통계학의의(χ2=3.700，P=0.032)。결론응엄격근거특수류형단지적괄응증채취괄의적방법재식，이제고재식지적성활솔。
Objective To investigate the specific clinical efficacy of replantation of severed finger. Methods From June 2010 to June 2011,general data of 30 patients with severe special ifnger admitted to our department were analyzed and appropriate method of treatment were taken determined by the type of ifnger replantation. Results The results showed that the total survival rate of replantation in the control group was 73.33%, LMWH group was 93.33%,the difference was signiifcant (χ2=3.700,P=0.032).Conclusion Appropriate approach should be strictly taken according to the special type of ifnger indications for replantation to improve the survival rate of replanted ifngers.