【摘要】 目的：探讨特殊类型断肢（指）再植的手术指征及可行性。方法：对21例27肢（指）特殊类型断肢（指）病人采用大幅度缩短再植法．血管错位吻合再植法．移植血管再植法．关节面离断保留关节再植法，水下四针吻合血管法。结果：成功17例21肢（指）．失败4例4指。成活的手指经3至6月功能锻炼，手指届伸优良。结论：断离肢体虽存在特殊因素．当断肢（指）远端外形上仍有一定完整度，具备显微外科技术及设备均可适应再植。而冻伤断离时间过长．不缩短断离面再植成功率低。更多还原

【Abstract】 Objective: Operation indication and feasibility of replantation of severed limbs (fingers) were studied. Mathods:replantation of specific severed limb (finger) was carried out on 21 cases (27 fingers ) by shortening replantation, blood vessel transposition .anastomose replantation and other operation technique. Results: success 17 cases (21 fingers );failure 4 cases (4 fingers). After 3~6 months’ dirigation the survived fingers could stretch or crook freely. Conclusion: Although severed limbs (fingers) may be caused by some specific factors,replantation is still feasible for some cases if the severed limbs (fingers) are integral at distal contour. The low rate of success is due to congelation, non-shortened disjunction or mecism of disjunction time.更多还原