Application of arteriovenous anastomosis combined with avulsion skin replantation in the patients with the retrograde avulsion injury of finger skin
Objective To explore the application effect of microscopic arteriovenous anastomosis combined with avulsed skin replantation in the patients with retrograde avulsion injury of finger skin.Methods 78 patients with retrograde avulsion injuries of finger skin were divided into the anastomosis group and the control group.The patients in the control group were underwent in situ skin replantation combined with negative pressure.The patients in the anastomosis group were underwent arteriovenous anastomosis combined with avulsed skin replantation under a microscope.The treatment conditions,excellent and good rate of finger joint activities,return to work,daily living ability,and occurrence of complications were compared between the two groups of patients.Results The survival rate of reimplantation in the anastomosis group was 97.67%higher than 84.21%in the control group,showing a statistically significant difference(P<0.05).The percentage of patients was 92.68%in the anastomosis group higher than 78.38%in the control group(P<0.05).Three months after treatment,patients returned to work in the anastomosis group better than that in the control group(P<0.05),and the activities of daily life scale scored higher than that in the control group(P<0.05).The overall incidence of complications in the anastomosis group was lower than that in the control group(P<0.05).Conclusion Microscopic arteriovenous anastomosis combined with avulsion skin replantation has a good therapeutic effect in the patients with retrograde avulsion injury of finger skin.It improves the patient's finger joint mobility and improves the patient's daily living ability,and is safe.
万方数据
维普
