人体四肢动脉伤端端吻合术后血管顺应性变化
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国家自然科学基金


END-TO-END ANASTOMOSES IN REPAIR OF ARTERIAL INJURIES IN HUMAN EXTREMITIES WITH REFERENCE TO HEMODYNAMICS
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    摘要:

    目的:研究人体四肢动脉伤端端吻合术后血管顺应性变化,为临床修复效果及近、远期疗效评价提供依据。方法:应用多普勒超声信号分析方法随访观察了21例27条四肢动脉伤经端端吻合修复术后血管的通畅情况,应用受约束弹性管模型,利用在体测量的流量波形,分析吻合血管的血管顺应性特性。结果:与正常侧对照,术后血管吻合口与近、远端血管及正常侧血管间顺应性无显著性差异(P>0.05),术后血管近、远端顺应性相近(P>0.05)。术后时间≤24周或>24周,上、下肢吻合血管各段顺应性无显著性差异(P>0.05),术后时间>24周吻合血管顺应性高于0.7×103/kPa,术后时间≤24周吻合血管顺应性低于0.7×103/kPa,两组间无显著性差异(P>0.05)。下肢吻合血管顺应性高于上肢,两组间无显著性差异(P>0.05)。结论:血管顺应性是辅助评价血管伤吻合修复效果的良好的参数指标,对它们的定期、连续观测,有助于评价吻合修复血管的命运。

    Abstract:

    Purpose: To investigate the hemodynamics in human extremities Injuried arteries repaired byend-to-end anastomoses, evaluated the anticipation outcome of vascular repair. Methods : A clinicalanalysis was undertaken to evaluate the vessel complicance in repair of the major arteries injury byend-to-end anastomoses. The records of 21 patients with 27 arterial injuries repaired by end-to-endanastomoses were reviewed. Results; All were patent in the early postoperative period. 15 patientswere followed beyond half one year, there is no significant difference between the anastomoses andthe control side(p>0.05). The complicance of the time-group-1 (24 weeks) was lower than0.7 x 103/kpa and that of the time group-2 (>24 weeks) was higher than 0.7 x 103/Kpa, but there wasno significant difference between the different time-groups (24 weeks or >24 weeks) (p>0.05).Thevascular complicance in lower extremities is over that in upper extremities, and there also is nosignificant difference between them (p>0.05). Conelusionf: The complicance was good and accurateindex to evaluate the anticipation outcome of arterial injuries in human extremities repaired byed-to-end anastomoses and should be considered periodical and continuously during arterialreconstructive procedures.

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颉强,黄耀添,赵黎,杨柳,李军.人体四肢动脉伤端端吻合术后血管顺应性变化[J].医用生物力学,1999,14(3):129-133

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