CAJ | 학술논문

目的探讨应用显微外科技术进行离断耳廓再植的临床经验.方法 2009年6月至2015年4月,对7例患者的离断耳廓组织经清创后急诊行再植术,每例均应用显微外科吻合动、静脉及神经1～5根,离断耳廓伤后3～6h恢复通血,其中6例均找到动脉并成功吻合通血,1例组织块仅吻合静脉,术后均行抗凝、抗痉挛、抗感染等治疗.结果 7例断耳再植全部成活,术后随访1个月至6年,平均28个月,成活耳体外观及功能良好,无明显萎缩及色素沉着,1年后触觉、感觉恢复接近正常.结论采用显微外科技术吻合血管即时恢复血液供应的耳体组织再植成功率较高,但需要熟练和高质量的小血管吻合技术.
목적 탐토응용현미외과기술진행리단이곽재식적림상경험.방법 2009년6월지2015년4월,대7례환자적리단이곽조직경청창후급진행재식술,매례균응용현미외과문합동、정맥급신경1～5근,리단이곽상후3～6h회복통혈,기중6례균조도동맥병성공문합통혈,1례조직괴부문합정맥,술후균행항응、항경련、항감염등치료.결과 7례단이재식전부성활,술후수방1개월지6년,평균28개월,성활이체외관급공능량호,무명현위축급색소침착,1년후촉각、감각회복접근정상.결론 채용현미외과기술문합혈관즉시회복혈액공응적이체조직재식성공솔교고,단수요숙련화고질량적소혈관문합기술.
Objective To investigate the application of microsurgical technique in the replantation of amputated ear.Methods 7 cases of amputated ears were analyzed from June 2009 to April 2015 in our department.We used microsurgical technique to anastomose about five vessels and nerves.The blood supply of auricle was restored within three to six hours.All subjects underwent treatments including antifreezing,anti-spasm and anti-infection treatment after the emergency surgery.Results 7 amputated ears were all survived after replantation.The patients were followed up for one month to six months (average for 28 months).The appearances of survived ears body were fully recovered without any significant atrophy or pigmentation.The sensory function of ears recovered to normal after 1 year.Conclusions The application of microsurgical technique in the replantation of amputated ear can expect the high success rate of ear replantation.However,skilled and high-quality anastomosis technique of small vascular are required.