Ueda K, Harii K, Nakatsuka T, Asato H, Yamada A
Division of Plastic Surgery, Jichi Medical School, Tochigi, Japan.
Microsurgery. 1996;17(3):146-9. doi: 10.1002/(SICI)1098-2752(1996)17:3<146::AID-MICR9>3.0.CO;2-K.
A comparative study was conducted of the results of venous end-to-end and end-to-side anastomosis in 948 clinical cases of microvascular free-tissue transfers for head and neck reconstruction following tumor resection. End-to-side anastomosis to the internal jugular vein was achieved uneventfully in the present series, while a variety of recipient veins was used for end-to-end anastomosis. The incidence of thrombosis was 1.8% (15/835) in the end-to-end anastomosis group and 2.7% (3/113) in end-to-side venous anastomosis. No statistical difference was observed between the two groups. One may hesitate to perform end-to-side anastomosis because of unfamiliarity, concern over technical difficulty, and unreliability. As a result of our statistical analysis, we are convinced that end-to-side anastomosis directly to the internal jugular vein, whenever available, is the preferred procedure in microvascular free-tissue transfers for reconstruction of the head and neck following tumor resection.
对948例肿瘤切除术后行微血管游离组织移植重建头颈部的临床病例进行了静脉端端吻合和端侧吻合结果的比较研究。在本系列研究中，与颈内静脉的端侧吻合顺利完成，而端端吻合则使用了多种受区静脉。端端吻合组血栓形成发生率为1.8%（15/835），端侧静脉吻合组为2.7%（3/113）。两组间未观察到统计学差异。由于不熟悉、担心技术难度和不可靠性，人们可能会犹豫是否进行端侧吻合。经过我们的统计分析，我们确信，只要条件允许，直接与颈内静脉进行端侧吻合是肿瘤切除术后头颈部重建微血管游离组织移植的首选方法。
