Gumley G J, Hamilton G L, MacLeod A M, O'Brien B M
Microsurgery Research Centre, St Vincent's Hospital, Melbourne, Australia.
Br J Plast Surg. 1989 Sep;42(5):534-7. doi: 10.1016/0007-1226(89)90040-4.
The microvascular anastomosis of vessels with a diameter difference in the range of 3:1 can be a difficult surgical exercise, with the risk of bleeding or thrombosis. Five different techniques for dealing with such asymmetries were investigated in a series of autogenous rabbit vein grafts. An assessment was made of patency rates and of factors involved in the performance of the anastomoses. It is concluded that the end-to-end with oblique cut procedure is the most suitable for the clinical situation.
直径差异在3:1范围内的血管进行微血管吻合可能是一项具有挑战性的外科手术，存在出血或血栓形成的风险。在一系列自体兔静脉移植中研究了五种处理这种不对称情况的不同技术。对通畅率以及吻合操作中涉及的因素进行了评估。得出的结论是，斜切端端吻合术最适合临床情况。
