任氏血管吻合法在超级显微外科LVA手术中的应用  

Application of Ren's vascular anastomosis technique in super microsurgery lymphatic-venous anastomosis

作　　者：顾仕林 郑红 王成 郑有卯 李家豪 杨继国 易利奇 刘冲 GU Shilin;ZHENG Hong;WANG Cheng;ZHENG Youmao;LI Jiahao;YANG Jiguo;YI Liqi;LIU Chong(Enze Hospital of Taizhou Enze Medical Center,Taizhou 318000,CHN)

机构地区：[1]台州市恩泽医疗集团恩泽医院手足外科,浙江台州318000

出　　处：《河南大学学报（医学版）》2024年第5期358-360,共3页Journal of Henan University:Medical Science

基　　金：浙江省自然科学基金(LTGY23H290007)。

摘　　要：目的:运用任氏血管吻合法行LVA手术治疗肢体淋巴水肿,并探讨了该方法的优缺点与其在用于超级显微外科LVA手术的临床应用价值。方法:回顾性收集2023年2月至4月就诊于台州恩泽医院行LVA手术的淋巴水肿患者12例。根据吻合方法的不同,将应用任氏吻合法/所有吻合口的比率大于等于50%定义为试验组,小于50%为对照组。结果:任氏吻合法的吻合时间为7.2 min,常规端端或端侧吻合时间为13.7 min,差异具有统计学意义(P=0.00);试验组的总手术时间为187.5 min,对照组总手术时间为222.5 min,差异具有统计学意义(P=0.031)。结论:在满足适应症时,任氏血管吻合法可以明显缩短LVA手术时间,是一种在具有超级显微外科领域应用价值的新方法。Objective:Ren's anastomosis was used to perform LVA surgery for limb lymphedema,and the advantages and disadvantages of this method and its clinical application value in super microsurgery LVA surgery were discussed.Methods:12 cases of lymphedema who underwent LVA operation in Enze Hospital of Taizhou from February to April 2023 were retrospectively collected.According to different anastomosis methods,the application rate of Ren's anastomosis/all anastomosis was greater than or equal to 50%,which was defined as the experimental group,otherwise as the control group.Results:The anastomosis time of Ren's anastomosis method was 7.2 min,and the conventional end-to-end or end-to-side anastomosis time was 13.7 min,the difference was statistically significant(P=0.00).The total operation time of the experimental group was 187.5 min,and that of the control group was 222.5 min,the difference was statistically significant(P=0.031).Conclusion:Ren's anastomosis can significantly shorten the operation time of LVA when the indications are met,and it is a new method with application value in the field of super microsurgery.

关 键 词：血管吻合法 显微外科 淋巴管静脉吻合术 

分 类 号：R616.2[医药卫生—外科学]