Objective To find stable methods for mulitation of the fingertip distal to nail or simple finger pulp replantation without the need for anastomosis of the finger pulp vein. Methods Two different replantation methods were taken and were evaluated in the case groups to compare the data collected from the study,in which the observation group using the new method of replantation,and the control group using the conventional method of replantation. Results A total of 38 cases of patients were followed up for 6 months to 9 months. In the control group,3 cases of 21 cases had complete necrosis;4 cases had partial necrosis following stump revision treatment plus small-incision blood-letting,2 cases were healed by wound dressing,1 case of finger pulp necrosis was treated with neighbor finger's skin repair,1 case of nail bed necrosis adopted abdominal skin flap repair. In the observation group,replanted fingers of the 17 cases had survived completely,2 cases survived through blood-letting therapy in the application of wound dressing,the rest survived successfully. Small-incision blood-letting processing was not required in the observation group and no necrosis was found in the replanted finger,all patients in this group obtained good effects after treatment. Conclusion The course of surviving process is smooth in the observation group,replantated finger does not appear partial necrosis and without the need for small-incision blood-letting,besides, the observation group has short hospitalization time,reduced economic burden of the patients,higher survival quality of the replantated finger,more stable survival process of the fingertip distal to nail,and more simple and convenient nursing.%目的：寻找一种稳定及不需要吻合指腹静脉的末节甲根部离断或单纯指腹离断再植方法。方法通过观察两种采取不同的再植手术方式的病例组，对比其数据不同得出研究结果，其中观察组采用新方法再植研究，对照组采用常规再植方法。结果38例病例随访6~9个月，其中常规方法组21例出现完全坏死3例，行残端修整术治疗，小切口放血后部分坏死4例，2例通过伤口换药后愈合，1例指腹坏死采用邻指皮瓣修复，1例甲床坏死采用腹部皮瓣修复；其中新方法组17例，再植指全部成活，2例通过伤口换药时需针刺放血成活，其余顺利成活，新方法组均不需要小切口放血处理，再植指均无坏死出现，获得良好效果。结论观察组病例成活过程顺利，再植指指体未出现部分坏死情况并且不需小切口放血治疗，住院时间短，减轻了患者经济负担，再植指体成活质量更高，使得末节再植成活过程更稳定，护理更简单。
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