CAJ | 학술논문

目的：探讨食指桡侧指固有动脉转位套入法治疗拇指断指的疗效。方法对10例指动脉缺损而无肌腱神经缺损的拇指完全或不完全离断病例，采用食指桡侧指固有动脉转位与拇指尺侧指固有动脉行套入吻合法修复动脉，再植拇指。结果本组10例再植拇指均成活，指腹饱满，色泽红润，经6~24个月随访，患者手部功能恢复满意，外观自然，2例出现虎口狭窄，经手术改善。结论食指桡侧指固有动脉转位套入法适用于单纯拇指指动脉缺损的再植治疗。
목적：탐토식지뇨측지고유동맥전위투입법치료무지단지적료효。방법대10례지동맥결손이무기건신경결손적무지완전혹불완전리단병례，채용식지뇨측지고유동맥전위여무지척측지고유동맥행투입문합법수복동맥，재식무지。결과본조10례재식무지균성활，지복포만，색택홍윤，경6~24개월수방，환자수부공능회복만의，외관자연，2례출현호구협착，경수술개선。결론식지뇨측지고유동맥전위투입법괄용우단순무지지동맥결손적재식치료。
Objective To investigate the effect of index finger radial digital proper artery transfer and sleeve anastomosis on treatment of thumb digital artery defect. Methods 10 cases of complete or incomplete thumb amputation with digital artery defect, but without tendon or nerve defect, were replanted by index finger radial digital proper artery transfer and sleeve anastomosis to thumb ulnar digital proper artery. Results All of 10 cases survived after operation, finger pulp was plump, color and lustre was florid. The patients were followed up for 10 months to 2 years, the hand function has obtained satisfactory recovery, and extrinsic feature was natural. Conclusion Index finger radial digital proper artery transfer and sleeve anastomosis is especially adaptive to the treatment of thumb digital artery defect.