组织工程与重建外科杂志2018，Vol.14Issue(3)：139-142,4.DOI:10.3969/j.issn.1673-0364.2018.03.006
吲哚菁绿荧光造影在穿支皮瓣微循环检测中的应用
The Application of the Indocyanine Green Angiography in the Micro-Circulation Evaluation of Perforator Flaps
摘要
Abstract
Objective To evaluate the accuracy and safety of indocyanine green angiography in the micro-circulation evaluation of perforator flaps.Methods Indocyanine green(ICG)angiography was carried out in 15 perforator-flap surgeries from July 2014 to May 2018.The evaluation results by traditional methods were compared with the angiography.The final survival of the flaps was compared with the intra-operative angiography results 2 weeks after surgery.Complications were noted.Results ICG angiography detected that 7 flaps had microvascular problems while only 2 cases were discovered by traditional methods.In 3 cases the microcirculation problem could not be corrected during the surgery.Partial necrosis took place in all 3 cases and the necrosis area matched the non-perfusion area in the intra-operative ICG angiography.Conclusion ICG angiography is accurate in perfusion evaluation of the perforator flaps.It is more sensitive to the microcirculation problems than traditional evaluation methods.It can effectively reduce the incidence of partial necrosis.ICG angiography has practical value in perforator flaps surgeries.关键词
吲哚菁绿/穿支皮瓣/微循环Key words
Indocyanine green/Perforator flaps/Micro-circulation分类
医药卫生引用本文复制引用
喜雯婧,李科,冯少清,章一新..吲哚菁绿荧光造影在穿支皮瓣微循环检测中的应用[J].组织工程与重建外科杂志,2018,14(3):139-142,4.基金项目
上海市科委优秀技术带头人计划(18XD1423700) （18XD1423700）
国家自然科学基金面上项目(81772098) （81772098）
上海交通大学医学院附属第九人民医院临床研究型多学科诊疗团队建设项目(2017-1-007) （2017-1-007）
上海交通大学医学院附属第九人民医院临床研究助推计划(JYLJ027) （JYLJ027）
上海市教委高峰高原计划—"研究型医师"项目(20152227). （20152227）
