中国组织工程研究与临床康复2011，Vol.15Issue(2)：321-324,4.DOI:10.3969/j.issn.1673-8225.2011.02.032
手部随意修复皮瓣甲襞微循环的观察
Observation of nail fold microcirculation repaired with a random flap
摘要
Abstract
BACKGROUND: Laser Doppler blood perfusion instrument is mostly used to observe random skin flap circulation, but there had been no study addressing a random flap nail fold microcirculation observation, which is a common method for detecting peripheral circulation.OBJECTIVE: The nail fold microcirculation on random flap was observed to understand the flap changes in peripheral microcirculation.METHODS: Totally 23 cases with hand skin defects were treated by free flaps and did not special drug treatment in the Burns and Plastic Surgery, the First Hospital of Hebei Medical University, were selected and divided into the flap and control groups according to nail fold microcirculation after surgery. The morphology, flow pattern and perivascular tissue of microcirculation at immediately, 7 and 15 days after flap transplantation were observed.RESULTS AND CONCLUSION: Microcirculation immediately after flap transplantation verified in definition, blood flow velocity,erythrocyte aggregation, and leakage, which showed the occurrence of microcirculation disturbance. There were no significant differences between the two groups in erythrocyte aggregation at 7 days after transplantation (P ＞ 0.05); while difference was significant in the definition, blood flow velocity and leakage (P ＜ 0.05). At 15 days after transplantation, there were no significant differences in the definition, blood flow velocity, erythrocyte aggregation and leakage between the two groups (P ＞ 0.05). The findings suggest that, observation of microcirculation of nail fold can display the flap blood supply and provide basis for flap pedicle division in the clinical course of treatment.关键词
随意皮瓣/移植/微循环/甲襞/皮肤缺损分类
医药卫生引用本文复制引用
邵洪波,姚月明,张庆富..手部随意修复皮瓣甲襞微循环的观察[J].中国组织工程研究与临床康复,2011,15(2):321-324,4.基金项目
河北省科技攻关计划资助项目(062761291),课题名称:随意皮瓣微循环动态变化的研究及己酮可可碱对其活力的影响. （062761291）
