血管吻合方式对动脉化皮瓣成活影响的初步观察

目的探讨血管吻合方式对动脉化皮瓣成活影响效果,为提高此类患者皮瓣成活率提供可靠依据。方法 A组放大镜下血管吻合;B组显微镜下血管吻合;C组血管吻合器实施血管吻合。记录3组患者皮瓣长度、缺血再灌注时间、血管吻合时间、坏死率,进行统计学分析后得出结论。结果 A组、B组、C组患者皮瓣长度、皮瓣宽度对比结果差异无统计学意义（P〉0.05）;C组患者缺血再灌注所需时间、总血管吻合时间、动脉血管吻合时间及静脉血管吻合时间均显著少于A组及B组;C组患者皮瓣成活率为100.00%,显著高于A组77.27%、B组81.82%（P〈0.05）;A组、B组上述情况对比差异无统计学意义（P〉0.05）。结论临床医生应根据患者血管口径等实际情况综合判断,从而选择合适的吻合方式,治疗前后可适当采用中医内服外敷方式促进机体恢复,提高疗效及患者生活质量。

Preliminary Observation of the Effect of Vascular Anastomosis on Arterialized Flap

Objective To investigate the vascular anastomosis survival effect on arterial words flap, in order to improve flap survival rate and provide a reliable basis for such patients. Methods A group had vessel anastomosis under the magnifying glass ; B group under microscope, and C group under vascular stapler anastomosis. Recording the length of vascular flap ischemia reperfusion time, anastomosis time and the necrosis rate, giving statistical analysis and making conclusion. Results Results in A group, B group and C group with flap, flap length width showed no significant difference （P 〉 0.05）. The required time, total time of vascular anastomosis, vascular anastomosis time and venous anastomosis in patients with ischemia reperfusion time in C group were significantly less than group A and group B; flap survival rate of C group was 100%, which was significantly higher than the A group （77.27%）, B group （ 81.82% ）, （ P 〈 0.05 ） ; in group A and group B, the contrast had no statistical significance （ P 〉 0.05 ）. Conclusion Clinicians should do comprehensive judgment based on the actual situation of patients with vascular caliber, so as to select the appropriate mode of agreement. TCM internal and external treatment methods before and after the treatment may be appropriate to promote recovery, and improve the life quality of the patients.