三针缝合套入法显微血管吻合的临床研究

A Clinical Study of the Three Stitches SleeveSuture Technique in Microvascular Anastomosis

１９８８年１月～１９９２年１２月将收治的完全断指病例分为三组，分别采用三针缝合套入法、传统间断端端法及两种技术组合应用进行血管吻合。１９９指断指再植的临床观察结果显示：在再植基本条件一致的情况下，三组间的血管危象发生率、再植成活率均无统计学差异（Ｐ＞０．２５０），而采用套入法进行再植时的手术耗时平均每指缩短约４０分钟（０．０５＞Ｐ＞０．０１）。作者认为套入法血管吻合技术是一种简便、易掌握、节省时间和精力，并且安全可靠的显微技术，临床应用于显微血管（１ｍｍ或以下）是可行的。在多指断指再植或有较多吻合口需完成的组织移植时，更能体现它的优越性，值得临床推广。

AbstractFrom January 1986 to December 1992,199 casesof complete digital amputations were treated withreplantation,The vascular anastomosis was done withthree kinds of methods,i.e. the three stiches sleevesuture technique,the conventional interrupted end-to-end technique and the combinedmethod. Post-operatively, no difference vvas seen in the cccurrenceof vascular crisis and the survival rate inbetween thecases treatde with the 3 different methods. (P>0.25)However,the time of surgical procedure with thesleeve technique lasted 40 minutes less than that withthe end-to-end method. (0.05>P>0.01).Thesleeve technique can be used in blood vessels of lessthan 1 mm in diameter and can be easily done. Theauthors strongly recommended this technique inmultipil digital reqlantation or tissue transplantationwith multiple vascular anastomosis.