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显微血管吻合的操作技巧及注意事项(国外英文资料)
显微血管吻合的操作技巧及注意事项(国外英文资料)
The operation technique of microvascular anastomosis and the attention matters on the 2010-12-03 23:323:2| classification: microsurgical learning
Operation technique of microvascular anastomosis and cautions
Micro vascular anastomosis is the decisive step microscopic repair surgery, in operation, due to inadequate debridement vascular injury, surgical trauma, blood supply, poor vascular anastomosis, vascular bed postoperative local hematoma formation, vasospasm, inappropriate and braking and infection factors, all can cause vascular anastomosis stricture or thrombosis, cause the failure of surgery. A trained physician should try to avoid these adverse factors and ensure the success of the operation.
(1) the difference between laboratory capacity and clinical ability
In the laboratory, doctors who have obtained good blood vessel dexterity skills have laid a solid foundation for their clinical microsurgery. However, there is a significant difference between the ability of the laboratory and the ability of clinical work, which should arouse the attention of beginners. The conditions of the clinical area and the area of the area are varied, and the conditions in the laboratory are relatively simple. In clinic, two anastomosis of vessels may diameter is different, perhaps direction, perhaps wall thickness difference is more, in the change of vascular bed, deep, shallow, the location of the blood vessels could cause problems for vascular anastomosis. A physician who has just been involved in microsurgery should be prepared for all these factors and will be able to do something about the changes.
In the laboratory, doctors can have a comfortable seat for blood vessels. But in clinic, especially microsurgical tissue transplants of head and neck surgery, the doctor can only stand for vascular anastomosis, the elbow and wrist are no good support, bring larger difficult surgery.
(2) the identification of anastomosis of blood vessels is normal
The selec
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