Application effects of continuous and intermittent suturing of blood vessels under microscope in the repair of limb vascular injuries
10.16753/j.cnki.1008-2344.2025.06.012
- VernacularTitle:显微镜下手法连续缝合血管和间断缝合血管在四肢血管损伤修复中的应用效果
- Author:
Hairui ZHANG
1
;
Ziran ZHANG
1
;
Junjie GAO
1
Author Information
1. 开封一五五医院手足显微外科,河南 开封 475000
- Publication Type:Journal Article
- Keywords:
microscope;
continuous suturing;
intermittent suturing;
limb vascular injury;
coagulation function
- From:
Journal of Shenyang Medical College
2025;27(6):632-635,672
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effects of continuous and intermittent suturing of blood vessels under microscope in the repair of limb vascular injuries.Methods:A total of 110 patients with limb vascular injuries admitted to Kaifeng 155 Hospital from Feb 2023 to May 2024 were selected as the research subjects.According to the different methods of vascular suturing,they were divided into two groups,55 patients who underwent intermittent suturing of blood vessels under microscope were selected as the control group,while 55 patients who underwent continuous suturing of blood vessels under microscope were selected as the observation group.The perioperative indicators(arterial and venous suture time,blood circulation recovery time,hospitalization time,total blood loss),blood electrolyte levels(serum potassium ion,sodium ion,and plasma carbon dioxide binding capacity),and coagulation function indicators[prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT)]before surgery,2 h and 1 d after surgery,and the incidence of complications were compared between the two groups.Results:The perioperative related indicators in the observation group were better than those in the control group(P＜0.05).The serum potassium ion,sodium ion,plasma carbon dioxide binding capacity,PT,APTT and TT in the two groups at 2 h and 1 d after operation were significantly higher than those before operation(P＜0.05).And these indicators in the observation group at 2 h after surgery were significantly higher than those in the control group(P＜0.05).However,there was no statistically significant difference in the levels of these indicators between the two groups before surgery and at 1 d after surgery(P＞0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P＜0.05).Conclusion:In the repair of limb vascular injuries,continuous suturing of blood vessels under microscope can effectively shorten the time of vascular suture,reduce blood loss,improve coagulation function and blood electrolyte level,promote postoperative recovery,improve limb motor function,and reduce complications.
