人工血管翻转吻合技术在主动脉外科的应用  

Application of graft eversion anastomosis technique in aortic surgery

作　　者：史泽鹏 何学志[2] Shi Zepeng;He Xuezhi(The Graduate School of Dalian Medical University,Dalian 116044,China;Department of Cardiovascular Surgery,Dalian Municipal Central Hospital,Dalian 116033,China)

机构地区：[1]大连医科大学研究生院,116044 [2]大连市中心医院心脏大血管外科,116033

出　　处：《中华胸心血管外科杂志》2021年第3期188-192,共5页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：人工血管与主动脉吻合是主动脉疾病外科治疗最重要的操作步骤,临床上涌现出了多种吻合方式及预防和消除吻合口出血的处理方法。其中人工血管末端外翻部分插入主动脉或内翻整体插入主动脉的吻合方式增大了移置物与主动脉壁贴合面积,明显降低了潮汐血流的冲脱作用和对吻合口的侧向力。因而其降低吻合后出血风险、术中缝合操作简化及吻合口出血容易处理的优点突出。不同名称的类似技术在主动脉病变的外科治疗中多有应用并取得了良好的吻合效果。本文将该技术统一称作"人工血管翻转吻合技术",系统阐述其在主动脉外科的应用演变,以期进一步加深对该技术的认识。Due to the emergence of various treatment methods for aortic diseases,the treatment methods of anastomosis have become diversified.The anastomosis of the graft distal eversion partly inserted into the aorta or graft inversion wholely inserted into the aorta increase the joint area between them,and it obviously reduces the impact of tidal blood flow and the lateral force on the anastomosis.Therefore,it has the outstanding advantages of reducing the risk of hemorrhage after anastomosis,simplifying the intraoperative suture operation and easy treatment of anastomotic hemorrhage.Similar techniques with different names are often used in the surgical treatment of aortic lesions and have achieved good anastomosis.In this paper,the concept is uniformly referred to as"Graft Eversion Anastomosis Technique",and its application evolution in aortic surgery is systematically expounded,so as to further deepen the understanding of the technology.

关 键 词：主动脉疾病 主动脉壁 吻合技术 人工血管 吻合方式 吻合口 出血风险 外科治疗 

分 类 号：R654.3[医药卫生—外科学]