Related factors and clinical countermeasures of replantation operation survival / 中国基层医药

ABSTRACT

Objective To investigate the related factors on survival rate of digital replantation and clinical measures.Methods 27 patients with digital replantation were selected,patients'various aspects relevant factors on the survival rate of digital replantation were analyzed by the single factor analysis and multi-factor Logistic regression.Results 35 fingers were needed to be replanted,the successful rate was 85.7％.There were significant differences in survival rate based on different treatment after injury,different injury reason,use of the vein graft,duration of warm ischemia,whether thrombosis,whether vascular crisis between survival group and non-survival group (x2 =6.386,3.889,4.704,6.176,10.802,4.564,all P ＜ 0.05).The results of multivariate Logistic regression analysis showed that processing method after injury,injury reason,use of the vein graft,warm ischemia time,whether thrombosis,whether vascular crisis were the factors directly affected the survival rate (r =0.902,0.957,0.922,1.825,2.053,1.026,all P ＜ 0.05).Conclusion In order to improve the digital replantation survival rate,patients should be investigated and assessed before digital replantation.The indications should be reasonable selected,factors are compositely considered,preventive measures are taken timely.