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用聚羟基乙酸缝线缝合的手术吻合动脉的机械强度发展情况。

The development of mechanical strength of surgically anastomosed arteries sutured with Dexon.

作者信息

Lee S, Fung Y C, Matsuda M, Xue H, Schneider D, Han K

出版信息

J Biomech. 1985;18(2):81-9. doi: 10.1016/0021-9290(85)90001-6.

Abstract

The strength of surgically anastomosed arteries of the rat sutured with Dexon thread is studied. The abdominal aortas and the carotid arteries were severed, sutured and then the wounds were closed and the animal healed. After a specific period of time up to 13 months, the vessels were taken out and tested in uniaxial loading condition. The stress-strain relationship of the vessels was measured, and then the vessels were pulled to failure. It was found that the strength of the anastomosis was the lowest in about 4 months. In the first day, the force at failure was about the same as that of the control. Then the strength decreased with time, until a minimum was reached in 4-6 months. The tensile force to failure was about 25% of the control for the carotid artery and 49% of the control for the abdominal aorta. The corresponding values of the tensile stress at failure were 17 and 11%, respectively. The different percentages of forces and stresses were caused by the thickening of the vessel wall in the neighborhood of the suture line in the healing process. After 4-6 months, the strength gained again. At 13 months, the strength of the anastomosis was about the same as that of the control. The stretch ratio at failure was approximately constant through all periods.

摘要

研究了用涤纶线缝合的大鼠手术吻合动脉的强度。切断并缝合腹主动脉和颈动脉,然后闭合伤口,让动物愈合。在长达13个月的特定时间段后,取出血管并在单轴加载条件下进行测试。测量血管的应力-应变关系,然后将血管拉伸至断裂。发现吻合口强度在约4个月时最低。第一天,断裂力与对照组大致相同。然后强度随时间下降,直到4-6个月时达到最小值。颈动脉的断裂拉伸力约为对照组的25%,腹主动脉为对照组的49%。相应的断裂拉伸应力值分别为17%和11%。力和应力的不同百分比是由愈合过程中缝合线附近血管壁增厚引起的。4-6个月后,强度再次增加。在13个月时,吻合口强度与对照组大致相同。整个时间段内的断裂伸长率大致恒定。

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