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[带瓣膜牛颈静脉导管的形态学和流体动力学特征]

[Morphologic and hydrodynamic characteristics of bovine jugular venous conduit with valves].

作者信息

Wu Zhong-shi, Zhang Jing-chao, Cheng Duan

机构信息

Department of Cardiothoracic Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Hunan Yi Ke Da Xue Xue Bao. 2003 Jun;28(3):298-300.

Abstract

OBJECTIVE

To determine the morphologic and hydrodynamic characteristics of bovine jugular venous conduit with valves.

METHODS

Fresh bovine jugular veins with a retained native valve procured from a slaughterhouse were used as raw material to fabricate the valved conduits. The hydrodynamic performance of fresh and glutaraldehyde fixed bovine jugular vein conduits with valves was investigated in an experimental flow equipment that provided a constant pressure. The perfusion flow quantity through the conduits was measured under the antegrade (from the distal end to the proximal end) and retograde (from the proximal to the distal end) perfusion. The parameters of the valves in these bovine jugular venous conduits were also measured.

RESULTS

There were 2-3 group valves in the bovine jugular venous conduit, with 3 or 2 valves in each group. The degrees of the leaflet development in different valves were different in the same conduit. The location of well-developed valves was interspersed. The anti-reflow ability of valves was positively correlated to the ratio between the leaflet height and valve sinus height (r = 0.709, P < 0.001). The percentage of retrograde and antegrade perfusion flow quantity after the glutaraldehyde treatment significantly increased than that before the glutaraldehyde treatment (P < 0.01).

CONCLUSION

Part of the bovine jugular venous conduit has well-developed valves with strong ability against reflowing. Routine glutaraldehyde treatment obviously decreases the anti-reflow function of the conduits.

摘要

目的

确定带瓣膜的牛颈静脉导管的形态学和流体动力学特征。

方法

以从屠宰场获取的保留有天然瓣膜的新鲜牛颈静脉作为原材料来制作带瓣膜的导管。在提供恒定压力的实验流动设备中研究新鲜的和经戊二醛固定的带瓣膜牛颈静脉导管的流体动力学性能。在顺行(从远端到近端)和逆行(从近端到远端)灌注下测量通过导管的灌注流量。还测量了这些牛颈静脉导管中瓣膜的参数。

结果

牛颈静脉导管中有2 - 3组瓣膜,每组有3个或2个瓣膜。同一导管中不同瓣膜的瓣叶发育程度不同。发育良好的瓣膜位置相互交错。瓣膜的抗反流能力与瓣叶高度和瓣膜窦高度之比呈正相关(r = 0.709,P < 0.001)。戊二醛处理后逆行和顺行灌注流量的百分比明显高于戊二醛处理前(P < 0.01)。

结论

部分牛颈静脉导管有发育良好的瓣膜,抗反流能力强。常规戊二醛处理明显降低了导管的抗反流功能。

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