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缝合技术对动脉吻合口顺应性的影响。

Effect of suture technique on arterial anastomotic compliance.

作者信息

Klein S R, Goldberg L, Miranda R M, Bosco P, Nelson R J, White R A

出版信息

Arch Surg. 1982 Jan;117(1):45-7. doi: 10.1001/archsurg.1982.01380250027006.

DOI:10.1001/archsurg.1982.01380250027006
PMID:7034672
Abstract

To determine the immediate effect of running and interrupted suture on anastomotic compliance, catheters were positioned in both femoral arteries of ten dogs for pressure measurement and introduction of an electromagnetic rheoangiometry loop probe. Changes in the area of the loop allowed simultaneous determination of the static and pulsatile internal diameter of the vessel when the loop was in an externally induced magnetic field. After dynamic diameter compliance (Cd) of the undisturbed femoral arteries was obtained, they were exposed, stripped of their adventitia, and divided. They were subsequently anastomosed with 6-0 polypropylene suture using a running anastomosis for one femoral artery and an interrupted anastomosis for the other; Cd was then measured 1 cm proximal to the anastomoses, at the anastomoses, and 1 cm distal to the anastomoses. The Cd significantly decreased with both running and interrupted anastomoses; running anastomoses showed significantly greater decrease in compliance than did interrupted.

摘要

为确定连续缝合和间断缝合对吻合口顺应性的即时影响,将导管置于10只犬的双侧股动脉内,用于压力测量并引入电磁血流测定环式探头。当环处于外加磁场中时,环面积的变化可同时测定血管的静态和搏动性内径。在获得未受干扰的股动脉的动态直径顺应性(Cd)后,将其暴露,剥去外膜并进行分割。随后,一根股动脉采用连续缝合用6-0聚丙烯缝线进行吻合,另一根股动脉采用间断缝合;然后在吻合口近端1 cm、吻合口处以及吻合口远端1 cm处测量Cd。连续缝合和间断缝合后Cd均显著降低;连续缝合的顺应性降低幅度显著大于间断缝合。

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Effect of suture technique on arterial anastomotic compliance.缝合技术对动脉吻合口顺应性的影响。
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