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静脉动脉化再植拇指完全离断
引用本文:田立杰,江起庭,田芙蓉,马世伟,李玉山.静脉动脉化再植拇指完全离断[J].实用手外科杂志,2003,17(2):69-70,F003.
作者姓名:田立杰  江起庭  田芙蓉  马世伟  李玉山
作者单位:1. 沈阳医学院附属中心医院,手外科,辽宁,沈阳,110024
2. 巢湖市中医院手显微外科中心,安徽,巢湖,238000
3. 锦州市中心医院,骨科,辽宁,锦州,121000
摘    要:目的 报道静脉动脉化再植拇指完全离断的新方法。方法 1999—2002年在5例拇指完全离断再植手术中,因指动脉严重损伤或多次吻合指动脉失败后,将近侧动脉与断指的一条静脉吻合作为供血通路,近侧的静脉与断指的另几条静脉吻合作为回血通路。结果 5例再植拇指全部成活,早期病例完全恢复了良好的功能。结论 静脉动脉化是一种拇指离断再植的新方法,操作简便,效果可靠,值得推广应用。

关 键 词:静脉动脉化  拇指完全离断  断指再植  血液循环
文章编号:1671-2722(2003)02-0069-02

Replantation of whole thumb's complete amputation with veno-arteriolization
TIAN Li-jie,JIANG Qi-ting,TIAN F u-rong,MA Shi-wei,LI Yu-shan.Replantation of whole thumb''''s complete amputation with veno-arteriolization[J].Chinese Journal of Practical Hand Surgery,2003,17(2):69-70,F003.
Authors:TIAN Li-jie  JIANG Qi-ting  TIAN F u-rong  MA Shi-wei  LI Yu-shan
Abstract:Ob jective To report a new method to replant whole thumb's complete amputation with veno-arteri-olization.Methods Since1999-2002,5cases of replantati on of severed thumbs had been done and after failure in anas-tomosing artery of finger over times,the proximal artery had been to anastomose with a vein of se vered finger as the route of blood supply.On the other hand,the proximal vein was anastomosed with the other veins as reflux via.Re-sults All severed finger s survived.The cases had regained good functions in early stage.Conclusion Ven o-arterioliza-tion was a new method for replantation of severed fingers,owing to its simple procedure,reliable effect,it worth to be spreading.
Keywords:Veno-arteriolization  Replantation of severed finger  Complete amputation of th umb
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