采用静脉动脉化技术对完全离断的拇指进行再植。
Replantation of completely amputated thumbs with venous arterialization.
作者信息
Tian Lijie, Tian Furong, Tian Feng, Li Xiaochuan, Ji Xianglu, Wei Jiao
机构信息
Department of Hand Surgery, Shengjing Hospital, China Medical University, Shenyang, China.
出版信息
J Hand Surg Am. 2007 Sep;32(7):1048-52. doi: 10.1016/j.jhsa.2007.05.011.
PURPOSE
To report a new method of replanting completely amputated thumbs with venous arterialization.
METHODS
In 6 replantation surgeries of completely amputated thumbs performed during the period 1999-2003, the proximal artery was anastomosed with a vein of the amputated part to establish inflow and the proximal vein was anastomosed with several other veins in the amputated part to establish outflow. This was because the proper palmar digital arteries were seriously injured or anastomosis of proper palmar digital arteries failed many times.
RESULTS
All the replanted thumbs survived, regained good sensory and motor functions, and showed no difference from thumbs replanted conventionally.
CONCLUSIONS
Venous arterialization may salvage otherwise unreplantable thumbs.
目的
报告一种采用静脉动脉化技术再植完全离断拇指的新方法。
方法
在1999年至2003年期间进行的6例完全离断拇指再植手术中，将近端动脉与离断部分的一条静脉吻合以建立血流流入，将近端静脉与离断部分的其他几条静脉吻合以建立血流流出。这是因为指掌侧固有动脉严重损伤或指掌侧固有动脉吻合多次失败。
结果
所有再植拇指均存活，感觉和运动功能恢复良好，与传统再植拇指无差异。
结论
静脉动脉化可挽救原本无法再植的拇指。
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