中国美容医学2015，Vol.24Issue(18)：1-4,4.
MD-CT造影检查在整形外科穿支皮瓣术前设计中的应用研究
Preoperative MDCT angiography in the planning of perforator flap surgery
张君毅 1杨思奋 2王春梅2
作者信息
- 1. 首都医科大学附属北京同仁医院整形美容外科 北京 100730
- 2. 东莞康华医院整形美容中心 广东 东莞 523080
- 折叠
摘要
Abstract
Objective To investigate and evaluate the effectiveness of MDCT analysis for the planning of perforator flap surgery. Methods We used specific software for data analysis and screening which obtained from MDCT angiography,get the images which is available to helping preoperative planning. Through the MDCT angiography,we find the optimal perforator to design a flap which can cure the defect safely and perfectly.Using Doppler to measure the perforator vessels piercing point during operation, observing the perforator's location and branches,then compared with MDCT angiography,then design the perforator flap according to the recipient site. Results The authors presented 27 perforators explored with MDCT angiography,and observed the piercing point of them intro-operations with the accuracy of 100%.The operation also leads to a good result.Only 1 perforator was not matched in its diameter and showed the match of 96.3%for diameters.The operation also leads to a good result.All the cases were satisfied with survived which can rotated even 180° ,except one case of distal necrosis,but with both good function and appearance.The donor site also closed at the meantime without deformity. Conclusion Compared with other methods,the MDCT angiography is more accurate and audio-visually. It can facilitate the operation process and decrease the complications very well.In this paper,we will discuss about the effectiveness of MDCT analysis for the planning of perforator flap surgery.It allows appropriate selection of the sizable perforator with the shortest intramuscular and suprafascial course preoperatively leading to safer and easier operation with optimal outcome in clinical applications.关键词
MD-CT造影检查/穿支皮瓣/术前设计/整形外科/多普勒Key words
MDCT angiography/perforator flap/preoperative design/plastic surgery/Doppler分类
医药卫生引用本文复制引用
张君毅,杨思奋,王春梅..MD-CT造影检查在整形外科穿支皮瓣术前设计中的应用研究[J].中国美容医学,2015,24(18):1-4,4.
