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[胆道系统手术缝线材料的选择]

[Choice of suture material for surgery on the biliary system].

作者信息

Muradaliev M A, Tumanov V P

出版信息

Biull Eksp Biol Med. 1983 Dec;96(12):105-7.

PMID:6661535
Abstract

To study the most biologically inert sutural material under the conditions of choleintestinal anastomoses, 3 series of dog experiments were performed. Terminolateral choledochoduodenoanastomoses were established in all the animals. To establish the first layers of sutures in the first series (25), use was made of catgut, in the second series (25) of silk, and in the third one (25) of capron. To establish buried sutures, use was made of silk 3. Macro- and microscopic studies of anastomoses were made 3, 7, 15, 30, 90, 180 and 360 days after operation. Histological and histochemical studies of the sections of the anastomosis demonstrated that the morphological appearance around sutural material in question was strikingly different. The capron thread appeared the most inert under contact of alimentary juices with a highly irritant action. It is advisable that such a thread should be widely used in surgery on the biliary ducts.

摘要

为了研究在胆肠吻合术条件下生物惰性最强的缝合材料,进行了3组犬实验。所有动物均建立端侧胆总管十二指肠吻合术。在第一组(25只)中,第一层缝线使用肠线;在第二组(25只)中使用丝线;在第三组(25只)中使用锦纶线。埋入缝线使用3号丝线。术后3、7、15、30、90、180和360天对吻合口进行大体和显微镜检查。对吻合口切片进行组织学和组织化学研究表明,所研究的缝合材料周围的形态外观有显著差异。在具有高度刺激性作用的消化液接触下,锦纶线显得最具惰性。建议这种缝线应在胆管手术中广泛使用。

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