de Bruijn H P, Marck K W
Department of Plastic Surgery and Hand Surgery, Medisch Spectrum Twente, Enschede, The Netherlands.
Microsurgery. 1996;17(7):414-6. doi: 10.1002/(SICI)1098-2752(1996)17:7<414::AID-MICR12>3.0.CO;2-2.
Various anastomotic coupling systems have been developed aiming to facilitate microvascular anastomoses. Of these only the 3M Precise Microvascular Anastomotic System (MAS) has recently gained increasing popularity. However, clinical studies on the use of the MAS are sparse. We report our clinical experience with the MAS in a two-centre study between 1991 and 1996. Of the 96 MAS coupling rings used, 50 were accessible for final analysis, and a 100% patency rate was obtained. The main indication is venous end-to-end anastomosis in vessels of minimal discrepancy. In selected cases in head and neck surgery even end-to-side venous anastomoses appear to be feasible. Although it is not universally applicable for microvascular anastomoses, we conclude that, if appropriate, the MAS coupling device leads to a reliable venous anastomosis in a greatly reduced operating time of less than 4 minutes.
为了便于进行微血管吻合，人们开发了各种吻合耦合系统。其中，只有3M精密微血管吻合系统（MAS）最近越来越受欢迎。然而，关于MAS使用的临床研究很少。我们在一项1991年至1996年的两中心研究中报告了我们使用MAS的临床经验。在使用的96个MAS耦合环中，有50个可供最终分析，并且获得了100%的通畅率。主要适应证是在差异最小的血管中进行静脉端端吻合。在头颈外科的某些病例中，甚至端侧静脉吻合似乎也是可行的。虽然它并非普遍适用于微血管吻合，但我们得出结论，在适当的情况下，MAS耦合装置可在不到4分钟的大幅缩短的手术时间内实现可靠的静脉吻合。
