摘要
目的:探讨CT血管造影定位穿支血管在股前外侧皮瓣手术中的应用价值。方法:对8例拟行股前外侧皮瓣修复手术的患者,术前采用CT血管造影定位旋股外侧动脉降支穿支血管,选取管径较粗、血流丰富、血管蒂长的穿支血管设计皮瓣。结果:8例患者术前CT血管造影定位的穿支血管与术中所见完全吻合,8例股前外侧皮瓣完全存活,1例发生血管危象,经手术探查后存活。切取皮瓣面积6cm×4cm^10cm×5cm,供区无运动感觉功能障碍。结论:术前运用CT血管造影可准确定位穿支血管位置,有利于皮瓣制备,减少手术风险和并发症,应用股前外侧皮瓣修复颌面部软组织缺损是一种有效的方法。
Objective：To investigate the effectiveness of CT angiography for detecting perforator vessels in the anterolateral thigh flap surgery.Method：Eight patients with oral and maxillofacial soft tissue defects were repaired with the anterolateral thigh flap.Preoperative CT angiography was conducted to detect perforator vessels.The perforator vessel with large diameter,abundant blood flow,and long pedicle was selected to design the flap.Result：The position of perforator vessels during operation were completely consistent with those detected by CT angiography.The anterolateral thigh flap for 8cases tally survived.One case had the vascular crisis,which was survived after surgical exploration.The flap ranged from 10cm×5cm to 6cm×4cm in size.Donor recipient site was not severe complications.Conclusion：CT angiography can be used to locate the perforator vessels preoperatively and accurately,which is beneficial for surgeons to design the flap and reduce surgical complications.The anterolateral thigh flap is an effective method of repairing oral and maxillofacial soft tissue defects.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2016年第11期867-869,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
四川省医学会科研课题计划(No:S15038)
西南医科大学附属口腔医院资助项目(No:201407)
关键词
CT血管造影
股前外侧皮瓣
穿支血管
CT angiography
anterolateral thigh flap
perforator vessels
