Veselý J, Smrcka V
Department of Plastic and Aesthetic Surgery, Medical School, Masaryk University, Bmo, Czech Republic.
Acta Chir Plast. 1995;37(3):67-70.
Only in four cases out of 800 replantations and revascularizations as the last resort it was necessary to anastomose an artery of the stump to a vein of the amputated part. Three of these cases were very distal finger amputations in zone II and III and one was an auricle amputation with so severely damaged arteries of the amputated part that it was not possible to perform their anastomosis. All of these four clinical cases were successful and they confirm the possibility of arterialization of the venous system which was proved in experiments with rabbit auricle replantation by Mundy and Pajn (1994) and by Farrior and Baker (1988).
在800例再植和血管重建手术中,仅4例作为最后的手段有必要将残端动脉与离断部分的静脉进行吻合。其中3例为Ⅱ区和Ⅲ区非常远端的手指离断,1例为耳廓离断,离断部分的动脉严重受损,无法进行动脉吻合。这4例临床病例均获成功,证实了静脉系统动脉化的可能性,这在Mundy和Pajn(1994年)以及Farrior和Baker(1988年)对兔耳廓再植的实验中得到了证实。