褥式吻合在老年微血管损伤修复中的可行性及有效性分析

doi:10.3969/j.issn.1003-9198.2024.12.019

Abstract

Abstract: Objective To analyze the feasibility and effectiveness of mattress anastomosis in repairing microvascular injury in the elderly. Methods From January 2020 to June 2023, a total of 30 elderly patients suffering from finger replantation who were admitted to Zhangjiagang Third People’s Hospital were enrolled in this study, and were randomly divided into the mattress group and the conventional group, with 15 cases in each group. Both groups underwent finger replantation, and mattress group received mattress anastomosis and conventional group used conventional interrupted anastomosis. The operation time, anastomosis time, ischemia-reperfusion time, vascular patency rate, the incidence rate of complications and the finger function in the two groups were recorded and compared. Results The anastomosis time and ischemia-reperfusion time in the mattress group were significantly shorter than those in the conventional group (P<0.05). There were no significant differences in the operation time between the two groups (P>0.05). There were no significant differences in the vascular patency rate between the two groups 1 week, 1, 3 and 6 months after operation (P>0.05). The incidence rate of thrombosis in the mattress group was lower than that in the conventional group (P<0.05), while the incidence rate of vascular stenosis in the mattress group was higher than that in the conventional group (P<0.05). There was no significant difference in the excellent rate of finger function between the two groups (P>0.05). Conclusions In the repairing operation of microvascular injury in the elderly, mattress anastomosis and conventional interrupted anastomosis have similar vascular patency rate and finger function recovery. Mattress anastomosis could decrease the anastomosis time, ischemia-reperfusion time and thrombosis rate, while could increase the vascular stenosis rate.

Key words: aged, finger replantation, microvascular injury repair, mattress anastomosis, interrupted anastomosis

CLC Number:

R 658.1

XU Kexiao, ZHANG Ping, ZHANG Mingliang, DING Yongbin, CHENG Hai. Feasibility and effectiveness of mattress anastomosis in repairing microvascular injury in the elderly[J]. Practical Geriatrics, 2024, 38(12): 1275-1279.

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Feasibility and effectiveness of mattress anastomosis in repairing microvascular injury in the elderly

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