指动脉按摩改善指远端再植术后缺血

Y. Niimi, Hiroshi Ito, K. Ikeda, M. Kirita, Junji Hishiyama, H. Sakurai
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引用次数: 0

摘要

摘要指远端再植经常与动脉血栓形成和/或痉挛有关,导致再植组织缺血。本报告介绍了一种无需再吻合的指端再植术后局部缺血的抢救技术。两名男性,64岁和51岁,接受了石川Ⅱ区手指截肢手术。采用静脉移植物进行显微外科再植。术中通过动脉内输注肝素和尿激酶一周。术后40至48小时,再植指出现局部缺血;立即开始用流动的温水按摩指骨近端区域的指动脉,并且局部缺血得到改善。在这两个病例中,尽管在一个病例中发现了需要全层皮肤移植的部分坏死,但再植组织都得到了挽救。这种按摩简单、安全、有效,没有并发症,适用于指远端再植后的局部缺血病例,尤其是在无法再吻合的情况下。
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Digital Artery Massage for Improving Ischemia after Distal Digital Replantation Surgery
Abstract Distal digital replantation is frequently associated with arterial thrombosis and/or spasm, leading ischemia in the replanted tissue. This report introduced a rescue technique for ischemia after distal digital replantation without reanastomosis. Two males, 64 and 51 years old, underwent Ishikawa subzone II finger amputations. Microsurgical replantations with vein grafts were performed. Intraoperatively, heparin and urokinase through intra-arterial infusion were given for one week. At 40 to 48 hours after surgeries, the replanted digits developed ischemia; massaging digital arteries at the proximal phalanx regions with running warm water was immediately initiated and ischemia was improved. In both cases, the replanted tissues were rescued, though a partial necrosis requiring full-thickness skin grafting was found in one case. This massage was easily, safely, and effectively performed without complications and was applicable in cases with ischemia after distal digital replantation, especially where reanastomosis was unfeasible.
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来源期刊
自引率
0.00%
发文量
6
审稿时长
14 weeks
期刊最新文献
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