组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2022, Vol. 18 ›› Issue (4): 319-.

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长时间热缺血的离断指尖的再植体会

  

  • 出版日期:2022-08-01 发布日期:2022-09-06

Experience in replantation of severed fingertip with long-term warm ischemia

  • Online:2022-08-01 Published:2022-09-06

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摘要： 目的　总结长时间热缺血的离断指尖再植的方法。方法　2017年3月至2019年12月，我们共收治了热缺血时间8～19 h的指尖离断患者17例（19指），均通过急诊显微手术给予再植。结果　本组患者中有16指再植成功，3指失败，再植成功率84.2%。结论　长时间热缺血的离断指尖仍有极高的再植成功的可能性，临床不应轻易放弃而导致患者的指尖缺损和部分功能受损。

关键词: 指尖离断, 　热缺血, 　再植

Abstract: Objective　To explore the methods of replantation of severed fingertip with long-term warm ischemia. Methods　From March 2017 to December 2019, 17 patients (19 fingers) with warm ischemia time of 8-19 hours were reviewed. Replantation was performed by emergency microsurgery. Results　In this group, 16 fingers were successfully replanted and 3 fingers failed, with a success rate of 84.2%. Conclusion　There is still a high possibility of successful replantation of severed fingertip with long-term warm ischemia, which should not be easily given up and lead to fingertip defect and partial functional impairment.

Key words: Fingertip amputation, 　Warm ischemia, 　Replantation