兔宽、窄蒂腓动脉穿支皮瓣的血流动力学比较研究  

The comparative study of broad and narrow pedicle sural artery perforator flap of rabbits in hemodynamic

作　　者：冯伟军 吴泽勇[2] 王翠媚 周将浪 何巨伦 罗丽丽 

机构地区：[1]广东省东莞市石碣医院手外科,广东东莞523290 [2]广东医学院附属医院整形外科,广东湛江524001 [3]广东省东莞市石碣医院皮肤科,广东东莞523290 [4]广东省东莞市石碣医院门诊部,广东东莞523290

出　　处：《中国医药科学》2014年第12期22-24,共3页China Medicine And Pharmacy

基　　金：广东省湛江市科技计划项目(2013B01097)

摘　　要：目的研究宽蒂与窄蒂腓动脉穿支皮瓣的血流动力学的差异。方法选成年的健康新西兰兔30只。采取随机原则,分成两组,每组15只,Ⅰ组设计宽蒂腓动脉穿支皮瓣模型(蒂宽1cm),Ⅱ组设计窄蒂腓动脉穿支皮瓣模型(蒂宽0.5cm)。分别于术后2h、术后1周、2周和3周时采用彩色多普勒超声仪进行血流动力学的评估。结果两组皮瓣术后不同时间点的腓动脉血流速度和血流量比较,差异均有统计学意义(P<0.05)。两组腓动脉血流速度和血流量之间比较,术后2h时差异有统计学意义(P<0.05),术后1、2、3周时差异均无统计学意义(P>0.05)。结论宽蒂与窄蒂腓动脉穿支皮瓣的腓动脉血流速度和血流量接近,两种皮瓣均能获得良好的血运。Objective To study the hemodynamic differences of broad and narrow pedicle sural artery perforator flap. Methods 30 New Zealand rabbits were applied to the experiment. Adopts the principle of random, 30 New Zealand rabbits were divided into two groups, each group of 15, broad peroneal artery perforator flap model （1cm） was designed in group Ⅰ, narrow pedicle peroneal artery perforators flap model （0.5cm） was designed in group Ⅱ . In postoperative 2h, 1 week after operation, 2 and 3 weeks, the hemodynamic were evaluated by color doppler ultrasound respectively. Results There were statistical difference between two groups in postoperative 2h, 1 week after operation, 2 and 3 weeks（P 〈 0.05）.The peroneal artery blood flow velocity and blood flow at 2 h after operative of two groups was statistically different（P 〈 0.05）, but postoperative 1, 2, 3 weeks there was no statistical difference （P 〉 0.05）. Conclusion The blood flow velocity and blood flowbroad of broad and narrow pedicle sural artery perforator flap is same and two kinds of skin flap can get a good blood supply.

关 键 词：穿支皮瓣 血流动力学 腓动脉穿支 窄蒂 

分 类 号：R622[医药卫生—整形外科]