CAJ | 학술논문

目的：观察改良血管套接法对断指再植术中患指局部血液微循环及经皮氧分压的影响。方法选择手指离断伤患者125例196指，按随机数字表法分为2组，对照组（A组）采用传统端端吻合法85指，观察组（B组）采用改良血管套接法111指，均于术后第1天、2天、4天、7天检测患指局部血液微循环和经皮氧分压，应用χ2检验和 t检验行统计分析。结果在第1、2、4、7天，B组患指局部血液微循环情况及经皮氧分压均好于A组，差异有统计学意义（ P＜0.05）。结论改良血管套接法相对于传统端端吻合法来说，可以提升术后局部血液循环供应，从而提高再植成活率。
목적：관찰개량혈관투접법대단지재식술중환지국부혈액미순배급경피양분압적영향。방법선택수지리단상환자125례196지，안수궤수자표법분위2조，대조조（A조）채용전통단단문합법85지，관찰조（B조）채용개량혈관투접법111지，균우술후제1천、2천、4천、7천검측환지국부혈액미순배화경피양분압，응용χ2검험화 t검험행통계분석。결과재제1、2、4、7천，B조환지국부혈액미순배정황급경피양분압균호우A조，차이유통계학의의（ P＜0.05）。결론개량혈관투접법상대우전통단단문합법래설，가이제승술후국부혈액순배공응，종이제고재식성활솔。
Objective To observe the improvement of vascular sheathing of finger replantation on influen-cing local blood microcirculation .Methods The choice of amputated fingers in 125 cases (196 fingers) ,randomly divided into 2 groups ,the control group using the traditional end-to-end anastomosis (group A) refers to the 85 , the observation group modified vascular sheathing method (B group) 111 ,both in the postoperative 1 d ,2 d ,4 d detection of 7 d ,with local blood microcirculation and transcutaneous oxygen pressure ,analysis of two groups of data using statistical software .Results In the 1 ,2 ,4 ,7 d ,B group with local blood microcirculation and trans-cutaneous oxygen pressure were better than the A group (the P< 0.05 ) .Conclusion The modified vascular sheathing method compared with the traditional end-to-end anastomosis ,can improve the postoperative local blood micro circulation supply ,so as to improve the survival rate of replantation .