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[血管重建手术中同种异体脐静脉的应用经验]

[Experiences with homologous umbilical cord veins in vascular reconstructive surgery].

作者信息

Huber A, Oehy K, Zürcher B, Vogt B

出版信息

Helv Chir Acta. 1980 Jun;47(1-2):177-90.

PMID:7440195
Abstract

12 homologous umbilical cord veins prepared according to the method of MINDICH from February to November 1978 were used as either femoro-femoral or femoro-popliteal bypass. 6 of the 12 implanted umbilical veins after an average of 4 months were still open and showed good results, whereas 4 were blocked by thrombosis due to bad outflow conditions or dissection. On two implants that had had to be removed, histological examinations were used, and these showed a destruction of the graft's wall. In contrast to the advantages of their problem-free availability and good technical suitability stands the destruction of these grafts observed by us and hence the questionable nature of tenacity in the receiver. Further experiences of longer duration dealing with this interesting subject of vascular substitute are needed.

摘要

1978年2月至11月期间,按照明迪奇的方法制备了12条同源脐静脉,用作股-股或股-腘动脉搭桥。12条植入的脐静脉中,平均4个月后有6条仍保持通畅且效果良好,而4条因流出道条件差或解剖原因被血栓阻塞。对2条不得不移除的植入物进行了组织学检查,结果显示移植物壁遭到破坏。尽管脐静脉具有获取方便且技术适用性良好的优点,但我们观察到这些移植物遭到破坏,因此其在受体中的耐用性存在疑问。需要对这个有趣的血管替代物课题进行更长期的进一步研究。

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