【摘要】 目的　探讨手部皮肤逆行撕脱伤的修复方式。方法　应用显微外科技术重建远端肢体血运。吻合静脉组 2 6例 ,通过吻合浅静脉 ,再建皮肤的血液循环。对照组 2 3例 ,应用传统的方法将撕脱皮肤原位游离植皮。结果术后随访 5～ 7年 ,皮肤存活面积、外形及功能 ,试验组均优于对照组。两组患者皮肤存活面积百分之比的平均值相比 ,差异有显著意义 ,P <0 .0 1。结论　吻合浅静脉修复手部皮肤逆行撕脱伤是一种较为理想的修复方法 ,皮肤功能好 ,质量高。更多还原

【Abstract】 Objective To investigate the treatment methods of reversed avulsion injury of hand skin. Methods Microsurgical technique was used for reconstruction of the blood supply of the distal extremity. The superficial vein was anastomosed for restoration of skin blood supply at the experimental group (26 cases).The avulsed skin regrafted in situ using traditional methods was done in the control group(23 cases). Results The follow-up period ranged from 5 to 7 years.The survival areas,shape and function in the experimental group were superior to those in the control group.There was statistically significant differnence in the percent of the average and skin survival areas. Conclusion Anastomosis of superficial vein is an ideal procedure for repair of the reversed avulsion injury of hand skin.更多还原