摘要
目的应用DSA技术结合多普勒彩超对股前外侧皮瓣穿支进行术前定位,统计其定位准确性,评价临床应用效果。方法自2017年7月至2019年06月应用DSA技术结合多普勒彩超对154例160块股前外侧皮瓣进行术前穿支及旋股外侧动脉走形分布定位,以此指导手术中的皮瓣分叶设计及血管切取,统计术前定位准确性,皮瓣切取时间及移植成活率。结果本组154例160块皮瓣术前经DSA结合多普勒彩超定位穿支,与术中实际对比,穿支定位、血管分布均一致,皮瓣均顺利成活;切取皮瓣时间:25 min(10~60 min)。结论DSA技术结合多普勒彩超在股前外侧皮瓣穿支术前定位准确,可在临床中有选择地应用,利于指导术中寻找皮瓣穿支、减少供区损伤,缩短手术时间。
Objective To evaluate the accuracy of location and clinical effect of the DSA technique combined with color Doppler ultrasound on the perforator of the anterolateral thigh flap.Methods From July 2017 to June 2019,the application of DSA technique combined with color Doppler ultrasound was used in 154 cases of 160 anterolateral thigh flaps to perform the preoperative perforator and locate the distribution of lateral circumflex femoral artery.The data were used to guide the design of the lobulated flap and the cutting of blood vessels in the operation.The accuracy of localization,the cutting time and survival rate of skin flap was analyzed statistically.Results The perforator of the skin flaps in our group were located through DSA combined with color Doppler ultrasound before operation.The location and distribution of perforator during operation were no difference from the pre-operation.154 cases of 160 skin flaps were all successfully survived,and the cutting time of skin flap was 10~60 min,with an average of 25 min.Conclusions DSA technique combined with color Doppler ultrasound in the location of the perforating branch of the anterolateral thigh flap can be used selectively in clinic.It can seek the skin flap perforator during the operation accurately and effectively,reduce the donor site damage and shorten the operation time.
作者
李雷
巨积辉
周正虎
方利平
徐军
邓伟
LI Lei;JU Ji-hui;ZHOU Zheng-hu;FANG Li-ping;XU Jun;DENG Wei(Department of Traumatic Orthopedics,Ruihua Affiliated Hospital of Suzhou University,Suzhou 2015104,Jiangsu Province,China;Department of Ultrasonography,Ruihua Affiliated Hospital of Suzhou University,Suzhou 2015104,Jiangsu Province,China)
出处
《中国临床解剖学杂志》
CSCD
北大核心
2020年第3期331-334,共4页
Chinese Journal of Clinical Anatomy
关键词
DSA技术
多普勒彩超
皮瓣穿支
穿支定位
DSA technique
Color Doppler ultrasound
Skin flap perforator
Perforator location
