CAJ | 학술논문

目的：探讨通过桥接静脉建立血液循环的方法再植手指背离断复合组织块的疗效。方法2006年6月-2011年8月，对13例合并肌腱或骨质离断的手指背复合组织块离断伤患者，急诊应用桥接静脉建立血液循环的方法再植离断组织块，术后观察其成活情况及并发症。结果本组9例再植组织块完全成活，2例完全坏死，2例部分坏死。所有病例随访6～24个月，再植组织块外观可，弹性稍差。依据中华医学会手外科分会上肢功能评定标准，优8例，良3例，差2例，优良率84.6%。结论桥接静脉法再植手指背侧离断复合组织块成活率较高，临床效果良好，是一种有效的治疗方法。
목적：탐토통과교접정맥건립혈액순배적방법재식수지배리단복합조직괴적료효。방법2006년6월-2011년8월，대13례합병기건혹골질리단적수지배복합조직괴리단상환자，급진응용교접정맥건립혈액순배적방법재식리단조직괴，술후관찰기성활정황급병발증。결과본조9례재식조직괴완전성활，2례완전배사，2례부분배사。소유병례수방6～24개월，재식조직괴외관가，탄성초차。의거중화의학회수외과분회상지공능평정표준，우8례，량3례，차2례，우량솔84.6%。결론교접정맥법재식수지배측리단복합조직괴성활솔교고，림상효과량호，시일충유효적치료방법。
Objective To explore the clinical effect of replantation of composite tissue masses severed from dorsal fingers by vein bridging. Methods 13 cases with composite tissue masses severed from dorsal fingers were replanted by vein bridging (only venous anastomosis) from June 2006 to August 2011. The effectiveness was evaluated after operation by observing the survival and complications of the composite tissue masses. Postoperative follow up ranged from 6 to 24 months, evaluating the appearance and function of the hand. Results Complete survival of the replanted composite tissue masses of the hand was achieved in 9 cases. Partial necrosis was seen in 2 cases. 2 cases had complete loss of the tissue masses. By 6 months to 2 years follow-up, the replanted tissue masses had a better appearance and lower elasticity. According to the function evaluation of the total active motion (TAM) scales, the result was excellent in 8,good in 3 and fair in 2, and the excellent and good rate was 84.6%. Conclusion It is an effective method that replantation of composite tissue masses severed from dorsal fingers by vein bridging, which has a high survival rate and good effect.