现有的安全性收获技术及其对下内绕道通透性及其对伤口相关并发症的影响
Celso Nunes1, Juliana Sousa2, João O'neill Pedrosa3
1Trainee in Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Vascular
|April 29, 2025
概括
透视静脉摘取 (EVH) 减少了大阴静脉 (GSV) 绕道手术中的伤口并发症,但开放静脉摘取 (OVH) 可能提供更好的长期移植通透性. 患者因素指导下内动脉绕道术的技术选择.
科学领域:
- 血管外科 血管外科
- 手术技巧 手术技巧
- 接种器的宽容性
背景情况:
- 大阴风静脉 (GSV) 是下内动脉绕道的主要通道.
- 传统的开放静脉采摘 (OVH) 有高的伤口并发症率 (高达40%).
- 内镜静脉摘取 (EVH) 作为一种最小侵入性的替代方法出现了.
研究的目的:
- 审查和综合当前关于软静脉收获技术的文献.
- 评估不同收获方法对移植透度和术后并发症的影响.
- 为了比较内镜静脉采集 (EVH) 和开放静脉采集 (OVH) 之间的结果.
主要方法:
- 在PubMed和Embase (2013-2023) 的系统电子文献搜索.
- 关键词:下内绕道,软静脉收获,并发症.
- 对9项精选的研究进行分析,比较收获技术.
主要成果:
- 与OVH相比,EVH显示伤口并发症减少.
- 研究报告了对移植的透度的混合结果,其中一些表明OVH的长期透度优越.
- 在所有研究中都没有发现手术部位感染的显著差异.
结论:
- 对于伤口并发症,EVH提供了好处,但对长期移植通透性的担忧仍然存在.
- OVH可能会提供更好的初级通透性,尽管这两种技术都有权衡.
- 患者特定的因素对于选择最佳静脉采集技术至关重要.
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