Thieme｜大鼠颈动脉端侧吻合 - by pass训练2 _健康小知识

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本文内容摘自Thieme出版的图书《MicrosurgicalBasicsandBypassTechniques》
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大鼠颈动脉端侧吻合训练，点击上图收看；?

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Fig.5.3Trainingontheneckvesselsofarat.(a)Locationofthecarotidarteryandjugularveinintheneck.(b)Thesternohyoidmuscleisretractedmediallyandthesternomastoidmusclelaterally.Theomohyoidmusclecrossesthesurgicalfield.(c)Theomohyoidmuscleisretractedsuperolaterallytoexposethecarotidarteryandvagusnerve.(d)End-to-sideanastomosisofthedistalendoftherightcarotidarterytotheleftcarotidarteryisshown.Theproximalendofthecarotidarterymayalsobeusedinsteadofthedistalforthisexercise.

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Fig.5.4End-to-sideanastomosisonratcarotidarteries(Video5.2).(a)Viewofanimalpositioningandapproachtocarotidarteries.Insetshowslocationoftheapproachandorientationoftheoperativefield.(b)Thecarotidarteriesaredissectedonbothsides;therightcarotidarteryisligatedproximally,translocatedoverthemusclesontheleftside,andalignedwiththecontralateralcarotidartery.(c)Afterfinishingthecontinuoussuturingonthebackwall,thelumenischeckedfromtheinside.(d)Thecontinuoussuturesaretightenedandsecured.

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Fig.5.4(e)Continuoussuturesareplacedonthefrontwallinaright-to-leftdirection.(f)Thefrontwallsuturesaretightened.(g)Thebackandfrontwallsuturesaretightened.(h)Viewafterremovingthetemporaryclipsandachievinghemostasis.

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Fig.5.5Doubleend-to-sideanastomosisoncarotidarteriesofarat(arterialloop).(a)Photographshowinglocationoftheapproachandorientationoftheoperativefield(left)andintraoperativephotograph(right)ofsurgicalexposure:theleftcarotidarteryispreparedforharvesting,andtherightcarotidarteryisexposedonabackground.(b)Illustrationsshowingthefirstanastomosiscreatedbetweendistalendoftheleftcarotidarteryandproximalrightcarotid(left,blackarrow)andthesecondanastomosisbetweenproximalendoftheleftcarotidanddistalportionoftherightcarotid(right,whitearrow).(c)Finalresultaftercompletionofsuturingofbothanastomosesandformationofvascularloop.(d)Bloodflowthroughthevesselsshowsthepatencyofbothanastomoses.
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