CAJ | 학술논문

目的：探讨无可吻合静脉的指端断指再植成活的静脉回流重建问题。方法该院自2013年1月—2014年5月间对100例118指指端甲根以远离断且无可吻合静脉的指体行仅吻合指动脉再植术，均行髓腔扩大，视血运情况部分行甲床或指端小切口放血治疗。结果再植指118指，其中未放血成活30指，经指端放血成活72指，经放血仍然坏死指16指，成活率86.44%。结论静脉回流障碍为指端断指再植常见状况，在注意术中注意事项并做好术后处理的前提下无可吻合静脉指端断指仍可再植且效果较好。
목적：탐토무가문합정맥적지단단지재식성활적정맥회류중건문제。방법해원자2013년1월—2014년5월간대100례118지지단갑근이원리단차무가문합정맥적지체행부문합지동맥재식술，균행수강확대，시혈운정황부분행갑상혹지단소절구방혈치료。결과재식지118지，기중미방혈성활30지，경지단방혈성활72지，경방혈잉연배사지16지，성활솔86.44%。결론정맥회류장애위지단단지재식상견상황，재주의술중주의사항병주호술후처리적전제하무가문합정맥지단단지잉가재식차효과교호。
Objective To investigate the venous reconstruction problem of none anastomotic veins of finger reflux replantation survival. Methods 44 cases of 51 Finger nail root far away from the broken and none anastomotic vein refers patients in our hospital from January 2013 to May 2014 underwent anastomosed artery replantation, expanded the medullary cavity, with nail bed or finger tip bloodletting therapy of small incision recording to blood supply condition. Results The replanted fingers 59 fingers, which survived 15 fingers did not bleed, survived 36 fingers with finger tip bloodletting, 7 fingers died through bleeding necrosis, the survival rate was 86%. Conclusion None anastomotic veins of finger replantation reconstruction problem end of venous reflux is still had no definitive theory, need further study.