《一种用于深部脑血管病变缝线固定的置夹法：技术病例报告》。
Place-and-Clip Method for Fixing the Suture Thread in Deep-Brain Vascular Lesions: A Technical Case Report.
机构信息
Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.
Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.
出版信息
World Neurosurg. 2019 Aug;128:11-13. doi: 10.1016/j.wneu.2019.04.111. Epub 2019 Apr 19.
BACKGROUND
Intracranial vascular injury incurred during surgery must be repaired as quickly as possible. The standard repair procedure is surgical suturing. However, the narrow and deep working space may obstruct creating a knot with the suture thread.
CASE DESCRIPTION
Resection of an olfactory groove meningioma was performed in a 73-year-old woman via the right lateral supraorbital approach. Tumor retraction caused an injury to the pericallosal artery. After temporary clipping of the vessel, a 10-0 nylon thread was placed on the vascular lesion and the end of the thread was fixed with an aneurysm clip.
CONCLUSIONS
Fixing the suture thread with an aneurysm clip can be a rescue technique in suturing procedures on deeply located vascular lesions.
背景
术中发生的颅内血管损伤必须尽快修复。标准的修复程序是手术缝合。然而，狭窄而深的工作空间可能会妨碍缝线打结。
病例描述
一名 73 岁女性通过右侧眶上外侧入路行嗅沟脑膜瘤切除术。肿瘤牵拉导致胼周动脉损伤。在临时夹闭血管后，在血管病变处放置 10-0 尼龙线，并使用动脉瘤夹固定线的末端。
结论
在深部血管病变的缝合过程中，使用动脉瘤夹固定缝线可以作为一种挽救技术。
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