Abstract:
Objective To investigate the risk factors associated with the vascular crisis after the digits replantation and provide the evidence for the improvement of the replantation survival rate. Methods From Jan. 2016 to Dec. 2018, 26 cases(29 digits)suffered by digit amputation were collected and analyzed retrospectively. Survival rate of replantation was summarized and functional evaluation was performed at the last follow-up. Statistical methods were used to analyze the risk factors associated with vascular crisis after digits replantation. Results 25 cases(28 digits)were followed up and the follow-up period raged from 9 to 28 months(mean 18.4 months). 25 cases(28 digits)survived during the last follow-up, and the standard evaluation of digits replantation function of Chinese medical association hand surgery branch was used to evaluate the function. 16 digits function was excellent, 5 digits good, 4 digits better and 3 digits poor, and the rate of excellent and good was 75%. There were statistically significant differences between the vascular crisis group and non-vascular crisis group during the process of injury-operation time, vein transplantation and functional evaluation(P < 0.05). Conclusion There are many factors affecting the survival of digits replantation. Strictly shortening the time interval from injury to operation and improving the quality of vein transplantation can reduce the occurrence of vascular crisis and finally improve the survival rate of the replanted digit.
斷指再植術(shù)后血管危象相關(guān)危險(xiǎn)因素
轉(zhuǎn)載請(qǐng)注明來(lái)自宜賓民心創(chuàng)傷骨科醫(yī)院有限責(zé)任公司,本文標(biāo)題:《斷指再植術(shù)后血管危象相關(guān)危險(xiǎn)因素》
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