人造血管和自体血管移植在创伤救治中的应用效果对比研究

Comparative Study on the Application Effect of Artificial Blood Vessel and Autologous Blood Vessel Transplantation in Trauma Treatment

目的对比分析人造血管、自体血管移植用于创伤救治的价值。方法随机选取2021年10月—2023年9月东莞市厚街医院收治的80急性创伤患者为研究对象,根据患者应用血管移植材料的不同分组,分成人造血管组(n=40)和对照组(n=40)。对照组给予健侧大隐静脉或其他静脉显微吻合,人造血管组给予人工血管显微吻合。对比两组患者手术相关指标、术后并发症发生率及随访3个月移植物通畅率。结果人造血管组移植吻合时间与缺血时间、手术时间均短于对照组,输血量少于对照组,差异有统计学意义(P均<0.05)。人造血管组术后并发症发生率为2.50%(1/40)低于对照组的15.00%(6/40),差异有统计学意义(χ^(2)=3.913,P<0.05)。随访3个月人造血管组移植物通畅率为100.00%(40/40)高于对照组的87.50%(35/40),差异有统计学意义(χ^(2)=5.333,P<0.05)。结论在创伤引起的血管损伤救治中,应用人造血管移植方式手术时间短、输血量少,术后并发症发生率低及移植物通畅率高。

Objective To compare and analyze the value of artificial blood vessel and autologous blood vessel transplantation in trauma treatment.Methods 80 patients with acute trauma admitted to Houjie Hospital of Dongguan City from October 2021 to September 2023 were randomly selected as the study objects.According to the different groups of patients with blood vessel transplantation materials,they were divided into artificial blood vessel group(n=40)and control group(n=40).The control group was given microanastomosis of the great saphenous vein or other veins on the healthy side,and the artificial blood vessel group was given microanastomosis of artificial blood vessel.The operative indicators,postoperative complication rate and graft patency rate of 3 months follow-up were compared between the two groups.Results The transplantation anastomosis time,ischemia time and operation time in the artificial blood vessel group were shorter than those in the control group,and the blood transfusion volume was less than that in the control group,the differences were statistically significant(all P<0.05).The incidence of postoperative complications in the artificial blood vessel group was 2.50%(1/40),which was lower than that in the control group 15.00%(6/40),and the difference was statistically significant(χ^(2)=3.913,P<0.05).After 3 months of follow-up,the graft patency rate in the artificial blood vessel group was 100.00%(40/40),which was higher than that in the control group 87.50%(35/40),and the difference was statistically significant(χ^(2)=5.333,P<0.05).Conclusion In the treatment of blood vessel injury caused by trauma,artificial blood vessel transplantation has short operation time,less blood transfusion,low postoperative complication rate and high graft patency rate.