The application of preoperative angiography and intraoperative Doppler blood flow detection in the surgery of colonic interposition for esophageal
10.3760/cma.j.issn.1673-4904.2014.11.001
- VernacularTitle:术前血管造影及术中多普勒血流探测在结肠代食管术中的应用
- Author:
Zhen YU
;
Jianye LI
;
Jian JIANG
;
Lei YU
;
Yunfeng ZHANG
;
Fei LI
- Publication Type:Journal Article
- Keywords:
Angiography;
Ultrasonography,Doppler;
Colonic interposition for esophageal
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(11):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of preoperative angiography and intraoperative Doppler blood flow detection in the surgery of colonic interposition for esophageal.Methods Thirty-seven patients who underwent the surgery of colonic interposition for esophageal were chosen,17 cases received colonic interposition for esophageal routine operation (routine group),and 20 cases received preoperative angiography of superior and inferior mesenteric arteries and intraoperative Doppler blood flow detection (improved group),the clinical efficacy was observed.Results Routine group occurred anastomotic leak in 4 cases on postoperative 6-15 d,operation time was (367.0 ± 53.3) min,and improved group occurred anastomotic leak in 1 case on postoperative 7 d,operation time was (302.0 ± 67.1) min,the operation time between two groups had significant difference (P ＜ 0.05).Conclusions The adoption of preoperative angiography and intraoperative Doppler blood flow detection can real-time directly display the vascular morphology of transplanted colon segment,observe the traveling direction and distribution of mesenteric arteries,provide accurate and rehable evaluation of blood vessel of transplanted colon,which can conduct to the optimum selection of transplanted colon and reduce the incidence of postoperative complications.
