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微血管技术、通畅率及相关因素的实验研究

An experimental study of microvascular technique, patency rates and related factors.

作者信息

Hayhurst J W, O'Brien B M

出版信息

Br J Plast Surg. 1975 Apr;28(2):128-32. doi: 10.1016/s0007-1226(75)90175-7.

Abstract

Microvascular repairs of 50 rabbits' femoral arteries averaging 0.9 mm in diameter gave an immediate patency rate of 100 per cent and a follow-up patency rate of 98 per cent after 3-41 days. The patency rate of 50 veins averaging 1.1 mm in diameter was 98 per cent immediately after surgery and 80 per cent after 3-41 days. No anticoagulants or antispasmodics were used. An additional 25 vein repairs with sufficient additional sutures to ensure more accurate apposition of the vein edges resulted in 100 per cent immediate patency and 92 per cent patency when examined during the 2nd week, the period which reveals the truest patency rate. Technical adequacy of the microvascular repair is the most important factor in ensuring final patency.

摘要

对50只家兔平均直径为0.9毫米的股动脉进行微血管修复,术后即时通畅率为100%,3至41天后的随访通畅率为98%。对50条平均直径为1.1毫米的静脉进行修复,术后即时通畅率为98%,3至41天后为80%。未使用抗凝剂或解痉剂。另外25例静脉修复手术中,通过增加足够数量的缝线以确保静脉边缘更精确对合,结果显示即时通畅率为100%,在第2周检查时通畅率为92%,第2周是显示最真实通畅率的时期。微血管修复技术的完善是确保最终通畅的最重要因素。

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