| 污染及感染环境影响小血管吻合的实验研究 |
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| 引用本文： | 杨大志,李路平,高培国,郭玉霞,王坤正,陈君长,赵龙柱,杨哲,李旭东.污染及感染环境影响小血管吻合的实验研究[J].西安交通大学学报(医学版),1999(1). |
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| 作者姓名： | 杨大志 李路平 高培国 郭玉霞 王坤正 陈君长 赵龙柱 杨哲 李旭东 |
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| 作者单位： | 第二临床医学院外科学教研室!西安７１００６１(杨大志，王坤正，陈君长，赵龙柱，杨哲，李旭东)，山西省长治市第二医院骨三科(李路平)，西北工业大学校医院外科(高培国)，山西长洽市医院妇产科(郭玉霞) |
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| 摘 要： | 用金葡菌在两组大白鼠（共１２０只）腹股沟区造成污染或感染模型，在污染或感染环境下行股动、静脉显微吻合。观察吻合血管１５ｄ通畅情况。结果显示：在污染区经清创后，吻合小血管１５ｄ通畅率为动脉９０．６％；静脉８８．５％。感染区内小血管吻合１５ｄ通畅率明显下降；动脉２９．１％；静脉４３．３％。因而认为：在污染环境下尽早清创后，行小血管吻合对通畅率影响不大。在感染区内，则应避免同有炎症的小血管吻合。必要时，移植正常血管，跨过感染灶，在正常组织内行小血管吻合。
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| 关 键 词： | 污染 感染 小血管 吻合 动物实验 |
ANIMAL EXPERIMENTAL STUDY OF THE EFFECT OF CONTAMINATIVE OR INFECTIOUS ENVIRONMENT ON ANASTOMOSIS OF SMALL VESSELS |
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| Yang Dazhi, Li Luping,Gao Peiguo et al.ANIMAL EXPERIMENTAL STUDY OF THE EFFECT OF CONTAMINATIVE OR INFECTIOUS ENVIRONMENT ON ANASTOMOSIS OF SMALL VESSELS[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1999(1). |
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| Authors: | Yang Dazhi Li Luping Gao Peiguo |
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| Institution: | Orthopaedic Department. Second Affiliated Hospital |
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| Abstract: | 120 white rats, divided into twogroups, were made into a contaminative or infectious model respectively by using staphylococcus aureus in grion area. Femoral artery and vein were mi-croanastomosed under the contaminative or infectious environment. The results showed that afterdebridement in contaminative area, the free circulation rate of artery and vein 15 day postoperativelywas 90.6% and 88. 5% respectively, while that ininfectious area was 29. 1 % and 43.3% respectivelywhich dwindle significantly compared with the former. Therefore, we considered that the anastomosisof small vessels was feasible in contaminative areaafter debridement as early as possible. In infectiousarea, the anastomosis with inflammation small vessel should be avioded, but it could be anastomosedby astriding the area with normal vessel transplantationn. |
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| Keywords: | contamination infection anastomosis small vessel |
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