【摘 要】
：
目的 探讨超级显微外科技术在人体末端组织离断再植中应用的价值.方法 2005年8月～2009年12月,利用超级显微外科技术通过吻合直径在0.5mm以下的微小血管对16例人体末端组织完全离断进行再植.男9例,女3例,年龄6岁～45岁,其中,指尖再植14例(甲中分以远6例),龟头离断1例,甲中份以远足趾趾尖离断再植1例,受伤距手术时间0.5～8.0h.离断组织块最大2.2cm×1.8cm×0.7cm,
【出 处】
：
2010广东省医学会骨科年会暨岭南骨科学术大会
论文部分内容阅读
目的 探讨超级显微外科技术在人体末端组织离断再植中应用的价值.方法 2005年8月～2009年12月,利用超级显微外科技术通过吻合直径在0.5mm以下的微小血管对16例人体末端组织完全离断进行再植.男9例,女3例,年龄6岁～45岁,其中,指尖再植14例(甲中分以远6例),龟头离断1例,甲中份以远足趾趾尖离断再植1例,受伤距手术时间0.5～8.0h.离断组织块最大2.2cm×1.8cm×0.7cm,最小1.0 cm×0.8 cm×0.4 cm.手术在20倍以上手术显微镜下进行,采用11-0无创伤手术缝线,11例指(趾)再植5例缝合两条动脉,6例缝合1条动脉,1例缝合1条静脉,龟头再植缝合1条动脉,2条静脉,对仅吻合动脉的末端组织再植行术后小切口放血治疗.血管口径最粗0.4mm,最细0.1mm.结果 15例人体末端组织离断再植均成活,成功率93.75％.术后随访外观及功能满意.结论 熟练掌握超级显微外科技术是保证人体末端组织离断再植成功的关键.
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