首页|面前静脉作为移植物的大鼠颈总动脉动静脉端端吻合模型建立

面前静脉作为移植物的大鼠颈总动脉动静脉端端吻合模型建立

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目的 建立面前静脉作为自体移植物的大鼠颈总动脉(CCA)动静脉端端吻合训练模型。方法 选取24只SD大鼠并随机分为两组,分别进行经典CCA端端吻合(n=12)及面前静脉作为自体移植物的CCA动静脉端端吻合(n=12)。所有吻合均以间断吻合方式进行,建立CCA动静脉端端吻合模型。结果 大鼠CCA直径为1。0~1。2 mm,面前静脉直径为0。8~1。0 mm。经典CCA端端吻合约需8~10针,平均吻合时间为(22。75±1。66)min。将面前静脉作为自体移植的CCA动静脉端端吻合组中,每只大鼠需进行2个端端吻合,总吻合时间为(49。42±2。47)min,每个吻合口需8~10针,耗时(24。71±1。65)min。所有吻合口即时通畅率及30 min后通畅率均为100%。结论 面前静脉作为自体移植物进行大鼠CCA动静脉微血管端端吻合练习,可模拟血管直径及血管壁厚度均不匹配的端端吻合,该模型为经典CCA端端吻合训练模型的补充。
Establishment of rat common carotid artery arteriovenous end-to-end anastomosis model with anterior facial vein as graft
Objective To establish a training model of common carotid artery(CCA)anastomosis end-to-end in rats with anterior facial vein as autologous graft.Methods Twenty-four SD rats were selected and randomly divided into two groups for classical end-to-end anastomosis of CCA(n=12)and end-to-end anastomosis of CCA with anterior facial vein as autologous graft(n=12).All anastomosis were performed in a discontinuous manner to establish a CCA arteriovenous end-to-end anastomosis model.Results The diameter of CCA in rats was 1.0-1.2 mm,and the diameter of anterior facial vein was 0.8-1.0 mm.The classic CCA end-to-end anastomosis required about 8-10 needles,and the average anastomosis time was(22.75±1.66)min.In the CCA arteriovenous end-to-end anastomosis group with anterior facial vein as autologous graft,each rat needed 2 end-to-end anastomosis,the total anastomosis time was(49.42±2.47)min,each anastomosis required 8-10 needles and took(24.71±1.65)min.The immediate patency rate of all anastomosis and the patency rate after 30 min were 100%.Conclusion The anterior facial vein is used as an autologous graft for rat CCA arteriovenous microvascular end-to-end anastomosis practice,which can simulate end-to-end anastomosis with mismatched vessel diameter and wall thickness.This model is a supplement to the classic CCA end-to-end anastomosis training model.

vascular anastomosisend-to-end anastomosisratcommon carotid arteryanterior facial vein

肖宗宇、汪继、胡蓉、佘孙菊、潘琪

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苏州大学附属第四医院(苏州市独墅湖医院)神经外科,江苏苏州,215123

广州医科大学附属第二医院神经外科,广东 广州,510260

中国人民解放军总医院第八医学中心皮肤科,北京,100091

中山大学孙逸仙纪念医院神经外科,广东 广州,510120

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血管吻合 端端吻合 大鼠 颈总动脉 面前静脉

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(33)