The replantation of penetrating severed finger with disconnected micro tissue blocks in 16 cases

中华显微外科杂志 Pub Date : 2019-12-25 DOI:10.3760/CMA.J.ISSN.1001-2036.2019.06.004

J. Song, M. Guo, Jing-liang Zhang, Z. Ren, Zengyun Liu, Zhongming Huang, Qiao-hong Guo

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引用次数: 1

Abstract

Objective To explore the method of replanting severed piercing finger micro tissue blocks. Methods From February, 2001 to October, 2016, 16 cases of severed piercing finger micro tissue blocks were replanted with debridement. The trunk or branch of proper palmar digital artery was anastomosed. Vascular collocations were used such as venous arterialization when there was no anastomotic artery available. Regular postoperative followed-up was performed to observe the recovery of tissue survival, appearance, sensation of flap, and joint function. Results One case had partial epidermal necrosis, and healed after change of dressing. The finger-disconnected micro tissue blocks of other 15 cases survived well. After 6 months to 2 years of follow-up, the replanted micro tissue blocks were ruddy in color and recovered from S3 to S4. The appearance of the 16 fingers was good, and the function of joints was restored. Conclusion The finger-disconnected micro tissue blocks should be actively replanted. With skilled microsurgical techniques, the anastomosis of the arterial or venous artery will ensure the success of replantation and survived, as well as to restore good function and appearance. Key words: Penetrating severed finger; Micro tissue block; Precise repair; Replantation

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显微组织块断指再植16例

目的探讨断指穿刺微组织块再植的方法。方法2001年2月~ 2016年10月对16例手指穿刺切断显微组织块进行清创再植。吻合指掌固有动脉干或支。当没有吻合动脉可用时，采用静脉动脉化等血管搭配。术后定期随访，观察组织存活、外观、皮瓣感觉及关节功能恢复情况。结果1例患者表皮部分坏死，换药后愈合。15例手指断连微组织块存活良好。随访6个月~ 2年，移植微组织块颜色红润，S3 ~ S4恢复。16根手指外观良好，关节功能恢复。结论手指断连的微组织块应积极再植。通过熟练的显微外科技术，动脉或静脉动脉的吻合将确保再植的成功和存活，并恢复良好的功能和外观。关键词:穿透断指;微组织块;精确修理;再植

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来源期刊

中华显微外科杂志

CiteScore

0.50

自引率

0.00%

发文量

6448

期刊介绍： Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery. The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.