摘要
目的 探讨医源性主干静脉损伤原因及其防治措施。 方法 回顾性分析 2 0例医源性主干静脉损伤的类型、原因 ,为制定防治措施提供依据。 结果 主干静脉损伤发生率占同期主干血管损伤的 80 % ,这与静脉本身的特点及其疾病的解剖有关。术中解剖层次不清、操作不规范是造成损伤的主要原因。 结论 术前充分估计病变组织与周围主干静脉的毗邻关系 ,术中谨慎、规范操作 。
Objective To explore the reason and prevention of iatrogenic major vein injury. Method Review and analyses of 20 cases of iatrogenic major vein injuries. Results The rate of major vein injury was higher than that of major artery during the operations. The main causes were improper technical maneuver and unclear anatomical dissection. Conclusions In order to reduce the occurrence of iatragenic major vein injury, the surgeon must give full estimation to the anatomical relation between the lesion and the adjacent major vein before the operation. Standarized technic and clear anatomical dissection during the operations are important to the prevention of iatrogenic major vein injury.
出处
《中国现代手术学杂志》
2003年第2期112-114,共3页
Chinese Journal of Modern Operative Surgery
