頁籤選單縮合
題名 | Clinical Experience of a Microvascular Venous Coupler Device in Free Tissue Transfers=顯微游離皮瓣手術中使用血管吻合器的經驗 |
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作者 | 張高評; 林幸道; 賴春生; Chang, Kao-ping; Lin, Sin-daw; Lai, Chung-sheng; |
期刊 | The Kaohsiung Journal of Medical Sciences |
出版日期 | 20071100 |
卷期 | 23:11 2007.11[民96.11] |
頁次 | 頁566-572 |
分類號 | 416.41 |
語文 | eng |
關鍵詞 | 自由組織游離皮瓣; 血管吻合器; Free tissue transfer; Venous coupler device; |
中文摘要 | 顯微游離皮瓣手術的失敗原因,大部分源自血管吻合不良,例如內皮黏膜損傷、血管扭曲以及不當的縫合技巧等。而這些因子皆會導致血栓的形成,進而皮瓣壞死;所以,如何解決血管吻合的問題一直是顯微整形醫師努力的課題。這篇文章是回顧本院在顯微游離皮瓣手術中,使用血管吻合器的經驗分享,以及如何改善靜脈吻合時面臨到的問題。根據分析,在顯微游離皮瓣手術中,使用血管吻合器的確可以改善因不當的縫合技巧而引發的血管吻合不良,進而提高成功率。 |
英文摘要 | Most free flap failures result from technical problems in performing vascular anastomoses, such as endothelial intima lacerations, distortion of the vessels, and unequal intersuture distances. These incorrect practices can lead to thrombosis formation and, ultimately, flap failure. Solving this problem is a challenging issue for all micro-reconstructive surgeons. In the last decade, a vascular anastomotic coupler instrument was developed and reported on. We review our recent experiences of free tissue transfer using this vascular coupler device, and discuss how venous problems can be overcome with its aid. We believe the excellent patency rate of the coupler may minimize the well-described problems of venous thrombosis in the challenging field of free tissue reconstructions. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。