术前彩色多普勒超声评估游离皮瓣供受区血管在头颈部修复重建中的初步应用研究

›› 2020, Vol. 40 ›› Issue (5): 416-420.

术前彩色多普勒超声评估游离皮瓣供受区血管在头颈部修复重建中的初步应用研究

李萌¹,黄辉²,丁旭¹,杜洪明³,钟旖⁴,宋海洋⁵,马虞楠³,吉幻¹,宋晓萌⁶,武和明⁷

1. 南京医科大学附属口腔医院
2. 江苏省中医院
3. 南京医科大学口腔医学研究所南京医科大学附属口腔医院口腔颌面外科
4. 江苏省口腔医院
5. 南京医科大学
6. 南京医科大学口腔医学院
7. 南京医科大学附属口腔医院口腔颌面外科

收稿日期:2019-11-13 修回日期:2019-12-18 出版日期:2020-05-26 发布日期:2020-06-08
通讯作者: 武和明 E-mail:whmz2002@aliyun.com
基金资助:
国家自然科学基金青年科学基金;科教强卫工程医学创新团队经费

Preoperative evaluation of vessels in the donor and recipient areas with free flaps reconstructing the head and neck defects by Color Doppler Ultrasound

Received:2019-11-13 Revised:2019-12-18 Online:2020-05-26 Published:2020-06-08

摘要/Abstract

摘要： 目的　探讨彩色多普勒超声(CDUS)术前评估头颈部修复重建中游离皮瓣供受区血管的初步效果。方法 11例需行游离皮瓣移植的头颈部组织缺损患者，术前采用CDUS评估游离皮瓣供区与头颈部受区的血管直径，血流峰值流速及血管壁厚度。根据CDUS检查结果，预选供受区血管，并术中保留，吻合后观察皮瓣存活情况。结果CDUS提供了血管直径，血流峰值流速及血管壁厚度的数据，11例中预选血管与术中吻合血管相匹配度81.82%，皮瓣术后均存活。结论彩色多普勒超声可有效地术前评估头颈部修复重建中游离皮瓣供受区血管，具有精准、无创、花费低、可重复的优点，在皮瓣设计中具有一定指导意义。

关键词: 游离皮瓣, 供受区血管, 彩色多普勒超声, 头颈部缺损

Abstract: Objective　 To investigate the initial effect of Color Doppler Ultrasound in the donor and recipient vessels of free flaps reconstructing the head and neck defects preoperatively. Methods Eleven patients with head and neck tissue defects requiring free flap transplantation were evaluated by CDUS preoperatively. The blood vessel diameter, peak flow velocity and vessel wall thickness of all the cases in the donor and recipient areas were detected. According to the results of CDUS, the appropriate anastomotic vessels were selected and protected retained during the operation. The flap survival situation was observed postoperatively. Results CDUS provides data on vessel diameter, peak flow velocity and vessel wall thickness. The matching rate of blood vessels in the donor area and the recipient area was 81.82% in 11 cases. All flaps survived. Conclusion Color Doppler Ultrasound can effectively evaluate vascular perfusion before surgery, which is precise, non-invasive, economical and repeatable, and is significant in guiding the design of free flap preoperatively.

Key words: free flap, donor and recipient vessels, Color Doppler ultrasound, head and neck defects

中图分类号:

R782.26

李萌黄辉丁旭杜洪明钟旖宋海洋马虞楠吉幻宋晓萌武和明. 术前彩色多普勒超声评估游离皮瓣供受区血管在头颈部修复重建中的初步应用研究[J]. 口腔医学, 2020, 40(5): 416-420.

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