摘要
微血管手工吻合技术由Carrel于1912年发明,目前已成为显微外科的核心手术技术之一.这种血管吻合方法疗效确切,但有耗时费力的缺点,且缝线作为异物残留也会引发炎性反应.近年来血管吻合器广泛应用于临床,不但提高了血管吻合质量,还可加快手术速度.Carrel提出的理想血管吻合4个原则是血管吻合工具改进的目标,现相继出现了负压环吻合器、血管支架吻合器、卡扣样吻合器、纤维蛋白胶、P407等新技术,该文重点介绍了这些技术的优缺点.
Microvascular manual suture technique is invented by doctor Carrel in 1912,it had become a core technique in microsurgery.This vascular anastomosis technique is effective.However,it also has some disadvantages such as time-consuming and labor-consuming.And as a residual foreign body,suture can also cause inflammation.In recent years,vascular couplers have been widely applied in clinic,this method ensuring the quality of anastomosis with faster speed.The four principles on ideal vascular anastomosis,which put forward by Carrel,is the target of improvement on vascular anastomosis tools.In recent years,Ring-coupling using negative pressure,vascular stents,hook stapling anastomat,fibrin glue,P407 and other new technologies have been reported,this paper will focus on the advantages and disadvantages of these technologies.
作者
吴屹冰
任甜甜
王扬
宋庆华
魏鹏
Wu Yibing;Ren Tiantian;Wang Yang;Song Qinghua;Wei Peng(Medical School of Ningbo University,Ningbo 315000,China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2018年第9期781-784,共4页
Chinese Journal of Plastic Surgery
关键词
血管吻合工具
血管吻合技术
研究进展
Vascular anastomosis tools
Vascular anastomosis techniques
Research progress
