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[微血管手术中的缝合与粘合技术。比较性动物实验临床研究]

[Suture and gluing technics in microvascular surgery. Comparative animal-experiment clinical studies].

作者信息

Skibbe M, Tilgner A

出版信息

Zentralbl Chir. 1983;108(3):150-8.

PMID:6342299
Abstract

In 135 femoral vessels of rats (70 arteries, 60 veins) end-to-end anastomoses performed, using 3 different methods (anastomoses with interrupted sutures, two-suture telescopic anastomosis, sutureless telescopic anastomosis with fibrinogen adhesive). The advantages and disadvantages of these methods were investigated and valued by clinical aspects (time of anastomosing, patency rate, complications). The results showed that a combined two-suture-telescopic anastomosis using absorbable suture material and fibrinogen adhesive is very stable and causes minimal lesions of the vessel wall, so that this method will be a nearly ideal anastomosing technique.

摘要

在135只大鼠的股血管(70条动脉、60条静脉)上进行了端对端吻合,采用了3种不同方法(间断缝合吻合、双缝套入式吻合、使用纤维蛋白原粘合剂的无缝套入式吻合)。通过临床方面(吻合时间、通畅率、并发症)对这些方法的优缺点进行了研究和评估。结果表明,使用可吸收缝合材料和纤维蛋白原粘合剂的联合双缝套入式吻合非常稳定,对血管壁造成的损伤最小,因此该方法将成为一种近乎理想的吻合技术。

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