| 小血管张力测量与小血管减张缝合技术研究 |
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Received:July 25, 1998
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| 期刊信息：《中国骨伤》2000年13卷，第7期，第398-400页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:制备小血管张力计测量小血管断端张力,并探讨减张缝合法在治疗小血管损伤中的作用。
方法:采用手术手套橡胶条制成小血管张力计并应用于观察离体猪桡动脉吻合口张力大小与通畅情况的关系。测量小血管断端间张力大小,并根据情况应用两断端间血管壁上缝合减张线的减张缝合法治疗106例小血管损伤。
结果:小血管吻合口张力大小与吻合成功明显有关,张力小于10°时直接套入可获成功,张力大于150°时即使减张缝合也很难保证吻合口通畅,需采用其他方法。106例小血管损伤张力在10°与150°之间采用减张缝合法获得良好疗效。
结论:小血管张力计制作简单、方便实用,采用小血管减张缝合术把张力缝合变成了无张缝合,简单了操作,提高了吻合质量。 |
| [关键词]:桡动脉 血管张力 缝合技术 |
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| Tensile strength measurement and relaxation suture of small blood vessels |
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Abstract:
Objective:To measure the tensile strength in the broken ends of small blood vessels using mini vascular tensometer,and to evaluate relaxation suture for the treatment of small vessel damage.
Methods:Mini vascular tensometer was made with rubber strips of surgical gloves.The tensometer was at first used to measure the in vitro tension in anastomotic stoma of porcine radial artery to determine its relationship with free blood circulation.106 patients with small vascular damage were treated with relaxation suture.
Results:The tension in anastomotic stoma of small vessel was notably related with the success of anastomosis.When the tension was less than 10 degree,the broken vessel can be cuffed directly.When the tension was more than 150 degree,it is difficult to ensure the unobstructed anastomotic stoma by using even the relaxation technique;other methods should be resorted to.Excellent and good results were obtained in this series of 106 cases of small vessels damage with tension between 10 and 150 degrees following treatment with relaxation suture.
Conclusion: This mini vascular tensometer is simple in preparation and handy.Relaxation suture relieved the tension of the suture site and thus improved the quality of anastomosis. |
| KEYWORDS:Radial artery Vessel tension Suture technique |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 耿孟录,何贵生.小血管张力测量与小血管减张缝合技术研究[J].中国骨伤,2000,13(7):398~400 |
| 英文格式: | GENG Meng lu,HE Gui sheng.Tensile strength measurement and relaxation suture of small blood vessels[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(7):398~400 |
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