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两点牵引套入法吻合小血管的实验研究

EXPERIMENTAL STUDY OF A NEW METHOD OF“TWO POINTS TRACTION”MICROVASCULAR SLEEVE ANASTOMOSIS

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【作者】 孙丕通; 赵仰胜; 程世华;

【Author】 Sun Peitong Zhao Yangsheng Cheng Shihua Dalian Medical College

【机构】 大连医学院第一附属医院神经外科; 大连医学院第一附属医院神经外科; 大连医学院第一附属医院病理科;

【摘要】 本文介绍了一种新的小血管吻合法,即“两点牵引”套入吻合法。对大白鼠100条动脉,平均外径1.0mm,静脉8条,平均外径0.gmm 做了实验研究。近期和远期通畅率为100%,组织学检查表明新生的血管内皮细胞在吻合处相互连接拉平。动脉血栓形成半为1%,静脉为“0”。实验结果表明,该方法套入简易,吻合时间短,组织损伤轻,通畅率高,血栓形成率低,是一种小血管端一端吻合的较理想的方法。

【Abstract】 100 arteries with an average diameter of 1.0mm and 8 veins with an average diameter of 0.9mm were anastomosed in rat,utilizing a new wethod of“two-point traction”microvascular sleeve anastomosis. The patency rate of short-term and long-term follow-up is satisfactory (100%)in both groups.Both new endothelialisation across the anastomo- tie sites and low incidence of thrombosis (in arteries 1%,in veins O) were demonstrated by histological examination ofthe resectedanastomo- tic segments at different periods after the operation.The result shows that this technique is a very effective method because of simplicity, rapidity,high patency rate and low thrombosis rate.

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