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題名:A New Method of Microvascular Anastomosis for Atherosclerotic Vessel     (8點)
粥狀動脈硬化血管顯微縫合的新方法
著者:Tzong-Shiun Li(李宗勳) ;Pai-Tsung Chiang(蔣百聰) ;Hsing-Guang Lai(賴幸光) ;Yi-Ten Liu(劉奕添) ;Hung-Chi Chen(陳宏基)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:diabetes mellitus ; hyperlipidemia ; atherosclerosis ; microvascular anastomosis
刊名:Formosan journal of surgery
卷期:39卷5期(2006.10)
頁碼:246-249
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

粥狀動脈硬化常見於糖尿病、高血脂症患者及煙癮者。針對這類族群的病患接受頭頸部手術及自由皮瓣顯微重建手術時,血管吻合對執行手術的醫師是一項挑戰。因為這類病患的血管十分易脆且血管內壁的堆積物也易因掉落而形成栓子進入血流而導致自由皮瓣血管栓塞。在臨床上我們將無菌鋼絲線於近端扭轉成一環狀並以持針器將近端夾住由此來提供支撐血管內壁的效果。當面對如同粥狀動脈硬化時困難縫合的血管也可以迅速完成。
Objective: A new technique to deal with difficult end-to-end anastomosis and for anastomosis of atherosclerotic arteries in head and neck surgery by using a self-designed loop holder. Methods: A C-wire is twisted to form a loop at the tip and a needle holder is used to grasp the twisted wire. The wire is then used to guide the needle through the vessel wall during anastomosis. Minimal contact of the intima with the wire occurs. This technique is specifically used to deal with difficult end-to-end anastomosis for atherosclerotic arteries in head and neck surgery. Results: The mean follow up period was 14 days after surgery. All cases with no anastomotic complications such as arterial or venous insufficiency, artery occlusion or venous thrombosis. The diagnosis is according to the appearance and capillary refilling time of the flap. One case had re-exploration because of persistent oozing from the penrose drain for 8 hours. There were no anastomotic complications found during operation. Conclusions: The new method provides better handling of the vessel and a satisfactory completion of the anastomosis in a difficult condition.


    

本卷期目次
Formosan journal of surgery 39卷5期 (2006.10)
Primary Actinomycosis of the Greater Omentum: Report of a Case/ Chih-Chien YenHung-Ming ChaoJuen-Sean LuSheng-Chuan HisTeng-Wei Chen
Supplementary Use of Computed Tomographic Angiography in Subarachnoid Hemorrhage with Negative Digital Subtraction Angiography: Report of a Case/ Ming-Jr TsaiChih-Peng WeiMing-Cheng Tsai
Volvulus of the Colon: Surgical Experience/ Yau-Tong YouChung-Rong ChangchienJeng-Yi WangJinn-Shiun ChenRei-Ping TangJy-Ming ChiangPao-Shiu HsiehChien-Yuh YehWen-Sy TsaiChung-Wei FanHsin-Yuan HungJeng-Fu You
Superior Mesenteric Artery Syndrome Following Thoracolumbar Kyphosis: Report of a Case/ Jen-Pin ChuangYan-Shen ShanRuey-Mo LinPo-Chang LeePin-Wen Lin
Blunt Trauma Causing Rupture of the Abdominal Aorta: Report of a Case/ Kuo-Chung ChengChung-Cheng KaoJuen-Sean LuKuang-Yi Liu
Reappraisal of Methylprednisolone Treatment for Acute Traumatic Cord Injury/ Carlos LamMing-Fu ChiangShin-Han TsaiHung-Yi ChiouCheuk-Sing ChoyMau-Roung LinWen-Ta Chiu
Distant Failure Patterns of Resected Stage Ⅰ Non-small Cell Lung Cancer: A Long-term Follow-up/ Jung-Jyh HungYu-Chung WuMin-Hsiung HuangBiing-Shiung HuangLiang-Shun WangWen-Hu Hsu
Reappraisal of Methylprednisolone Treatment for Acute Traumatic Cord Injury/ Carlos LamMing-Fu ChiangShin-Han TsaiHung-Yi ChiouCheuk-Sing ChoyMau-Roung LinWen-Ta Chiu
A New Method of Microvascular Anastomosis for Atherosclerotic Vessel/ Tzong-Shiun LiPai-Tsung ChiangHsing-Guang LaiYi-Ten LiuHung-Chi Chen
Volvulus of the Colon: Surgical Experience/ Yau-Tong YouChung-Rong ChangchienJeng-Yi WangJinn-Shiun ChenRei-Ping TangJy-Ming ChiangPao-Shiu HsiehChien-Yuh YehWen-Sy TsaiChung-Wei FanHsin-Yuan HungJeng-Fu You
Superior Mesenteric Artery Syndrome Following Thoracolumbar Kyphosis: Report of a Case/ Jen-Pin ChuangYan-Shen ShanRuey-Mo LinPo-Chang LeePin-Wen Lin
Primary Actinomycosis of the Greater Omentum: Report of a Case/ Chih-Chien YenHung-Ming ChaoJuen-Sean LuSheng-Chuan HisTeng-Wei Chen
Supplementary Use of Computed Tomographic Angiography in Subarachnoid Hemorrhage with Negative Digital Subtraction Angiography: Report of a Case/ Ming-Jr TsaiChih-Peng WeiMing-Cheng Tsai
Blunt Trauma Causing Rupture of the Abdominal Aorta: Report of a Case/ Kuo-Chung ChengChung-Cheng KaoJuen-Sean LuKuang-Yi Liu
 
   
 
   

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