CAJ | 학술논문

目的：探讨静脉动脉化在手指末节断指再植中的应用。方法对我院2010年9月-2012年1月收治的远端无可供吻合动脉的末节和指尖40例(46指)采用静脉动脉化行断指再植。术后随访6个月-3年，根据中华医学会手外科学会断指再植功能的评定试用标准评定。结果39例成活，1例坏死；术后随访，功能恢复：优20例，良7例，差3例，优良率达90.0%。结论静脉动脉化是一种远端无可供吻合动脉的手指末节进行再植可行的治疗方法，效果可靠，值得临床推广。术后积极的系统锻炼能改善再植手指血液循环，防止关节僵硬，促进神经等方面的功能得到恢复。
목적：탐토정맥동맥화재수지말절단지재식중적응용。방법대아원2010년9월-2012년1월수치적원단무가공문합동맥적말절화지첨40례(46지)채용정맥동맥화행단지재식。술후수방6개월-3년，근거중화의학회수외과학회단지재식공능적평정시용표준평정。결과39례성활，1례배사；술후수방，공능회복：우20례，량7례，차3례，우량솔체90.0%。결론정맥동맥화시일충원단무가공문합동맥적수지말절진행재식가행적치료방법，효과가고，치득림상추엄。술후적겁적계통단련능개선재식수지혈액순배，방지관절강경，촉진신경등방면적공능득도회복。
Objective To explore application of veno-arteriolization in replantation of distal segment finger. Methods 46 fingers in 40 cases which were received and cured in our hospital from September 2010-January 2012 underwent in veno-arteriolization, the arteries were no longer fit for anastomosis. Postoperative follow-up ranged from 6 months to 3 years with 30 cases. Assessing them according to the standard functional evaluation issued by Hand Surgery Association of Chinese Medical Association. Results 39 cases were successful, while l case was thanatosis.Function recovery was graded excellent in 20 cases, good in 7 cases, fair in 3 cases. The excellent and good rate was 90.0%. Conclusions Veno-arteriolization was a feasible treatment in finger replantation of distal segment finger which arteries were no longer fit for anastomosis. Its effect is reliable, is worth popularizing in clinic. Active system of exercise after operation can improve the blood circulation in finger replantation, prevent the stiff joints, improve neurologic function of restoration.