大鼠异侧颈总动脉端-侧吻合动物模型的制作验证血管端-侧吻合的手术模型可行性评价

    Establishment and evaluation of the end-to-side anastomosis model of the common carotid artery in rat

    • 摘要: 目的: 建立SD大鼠异侧颈总动脉端-侧吻合动物模型, 验证血管端-侧吻合的手术模型可行性。方法: 选取成年SD大鼠20只, 将右侧颈总动脉远端穿过气管下面的组织, 与左侧颈总动脉行端-侧吻合, 记录缝合针数及吻合时间, 1个月后取吻合口血管行HE染色及脑组织2, 3, 5-氯化三苯基四氮唑染色进行观察。结果: 成功建成大鼠颈总动脉端-侧血管吻合动物模型, 手术成功率达100%,平均吻合7针, 平均吻合时间(40±5)min。吻合1个月后观察通畅率100%,HE染色显示吻合口愈合良好, 大脑2, 3, 5-氯化三苯基四氮唑染色显示无脑缺血灶。结论: 模型制作成功率高, 能保证脑组织血液灌注。操作过程中需注意保护颈总动脉周围的分支血管及神经。模型可应用于烟雾病外科治疗及插入性血管移植的临床研究。

       

      Abstract: Objective: To establish the end-to-side anastomosis model of the common carotid artery(CCA) in rat for simulating the operation model of vascular anastomosis.Methods: The end-to-side anastomosis model of left CCA and distal end of right CCA under the trachea tissue in 20 adult SD rat was established.The number of suture needle and anastomosis time were recorded.The anastomotic vessel and brain were stained using HE and 2,3,5-triphenyl tetrazolium chloride,respectively.Results: The end-to-side anastomosis model of CCA was established in rat,the successful rate of which was 100%.The number of suture needle was 7,and anastomosis time were 40±5 min,respectively.The patency rate of anastomosis was 100% after one month of anastomosis.The HE and 2,3,5-triphenyl tetrazolium chloride staining showed that the anastomosis healing was good,and brain had no cerebral ischemia.Conclusions: The blood vessel branch and nerve around the CCA should be protected during the process of model-making,the model can be used in the study of surgical treatment of moyamoya disease and vascular transplantation.

       

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