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提高微血管吻合通畅率的实验研究及临床应用

EXPERIMENTAL AND CLINICAL STUDY OF IMPROVED TECHNIQUES OF 0.3~0.5MM MI CROVASCULAR ANASTOMOSIS
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摘要 对0.3~0.5mm微血管的吻合技术进行改进,并在实验成功的基础上应用于临床。结果表明采用:①不剥离血管外膜。②改良偏心式两定点吻合。③静脉远端单夹法。④无损伤血管通畅指标判断法。⑤吻合后电磁场治疗加速血管愈合。此五项措施,可显著地提高血管吻合后的通畅率(P〈0.001),临床应用11例(75个吻合口)淋巴管及血管吻合后病人,均获成功。 Several techniques were used to improve 0.3~0.5 mm microvascular anastomosis. These included (1) non-isolation of adventitia, (2) modified two—point anastomosis, (3) clamping only the inflow in veins anastomosis, (4) atraumatic measurement of vascular patency, (5) post operative stimulation by electromagnetic fields, which accelerated the healing of the vessels. The chance of patency following anastomosis in experimental group was significantly much greater than that in the control one (p<0.001). We have also used these techniques in 11 patients with fingers replantation or smaller lymphatic anastomosis. All of the operations were successful.
出处 《中国修复重建外科杂志》 CAS CSCD 1993年第4期198-200,共3页 Chinese Journal of Reparative and Reconstructive Surgery
关键词 微血管 吻合术 研究 临床应用 Microvascular Anastomosis Healing Electromagnetic fields
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