应用离体鸡翅尖血管进行显微吻合训练的研究.pdfVIP

·临床研究· 2∞8 年 1 月第46 卷第2 期 应用离体鸡翅尖血管进行显微吻合训练的研究 都芳涛张前尚博张闻生刘士明周恩昌 (山东省聊城市第二人民医院，山东聊城2526(0) [摘要]目的探讨用离体鸡翅尖血管进行显微吻合训练的新方法。方法鸡翅尖50 只，解剖出中央动脉，测量直径约 0.5-O.6mm，在显微镜下进行端-端吻合50 次。结果吻合口通畅47 次，欠通畅3 次。结论离体鸡翅尖可以作为血管显微 吻合训练的模型，操作真实感强，材料来源方便，方法简单易行。 [关键谓]鸡;血管;吻合术;显微外科手术 [申图分类号] R616.2 [文献标识码] A [文章编号] 1673-9701(2∞8)02-55-02 Study of Extracorporeal Chicken W缸19 Tip Arteries for Microsorgical Arte- rial Anastomosis Training DUFar略ta.o ZHANG Jie SHANG Bo ZHANG Wensheng UU sl曲时ng Zhou Enchang The Seωnd People s H帽p凶II of Liaocheng, Shandong 25级泊。 [Abs位actl Objective To present a new method of using extracorporeal chicken wing tip arteries for microsurgical arterial anastomosis training.‘ Me曲。但 50 chicken wing tip arteries were dis回cted out under the microseope. The arleries were approximately 0.5-O.6mm in di- ameter. 50 end~ω-end arterial anastomosis were practiced under the microscope. Results Among the 50 arterial anastomosis, 47 an凶tomosis were unhlocked , 3 四困tomosis were narrowed or occluded. Conclusion ExtraCOlPOreal chicken wing tip can be 困 a model for microsurgical anastomosis training and the sen回 were reality to 由e real operation. The advantages of the materials were cheap, easy to obtain. (Key Words] Chicken; Blood vessel; Anastomosis; Microsurg町 随着社会的发展，交通事故和工伤造成的伴有神经、血管损 技术的训练是一个很好的方法。对于显微外科医师来说，维持自 伤的严重创伤越来越多，掌握显微外科技术对于骨科医师显得 己的手术技巧和显微外科操作，最好的方法是经常参加显微外 愈发重要。对于基层单位，进行显微吻合训练目前尚无合适的训 科手术。然而，不经常参加手术操作的外科医师，他们想维持或 练材料。笔者采用离体鸡翅尖血管进行显微吻合微血管训练，效 提高手术技巧，那么唯一的行之有效的方法只能是通过显微训 果满意，现报道如下。 练来提高显微吻合技术。 一般显微训练从橡胶手套、硅胶管开始练习，逐步到使用 1 材料与方法