彩色多普勒影像技术设计轴型皮瓣  

Design of axial flaps with Color Doppler Flow Imaging technique

作　　者：刘达恩[1] 李智贤[2] 黎信森[1] 农庆文[1] 张立明[1] 臧毅[2] 

机构地区：[1]广西医科大学一附院烧伤整形外科,南宁530027 [2]广西医科大学一附院物理诊断科,南宁530027

出　　处：《中华整形外科杂志》2002年第2期76-78,共3页Chinese Journal of Plastic Surgery

基　　金：广西省卫生厅资助 (编号 :980 7)

摘　　要：目的　利用彩色多普勒影像技术设计轴型皮瓣 ,克服既往设计时血管不能直观显像的缺陷。方法　选用不同部位的轴型皮瓣 10例 ,术前在传统设计方法的基础上 ,采用高分辨彩色多普勒检测轴型皮瓣供血动脉的起止点、长度等 ,根据检测结果再次设计皮瓣并移转覆盖创面。结果除 1例未能完成手术外 ,其余 9例成活良好。结论　该方法具有能直观和准确确定轴型皮瓣血管的起止点。Objective\ To study the effect of the color doppler flow imaging (CDFI) technique in the design of the axial pattern flap. Methods\ From March 1996 to June 1999, ten patients were included in this study. Among them, there were seven males and three females. Their defects ranged from 6 cm× 8 cm to 15 cm×20 cm. Before operation, an axial flap was designed by the traditional method. Then CDFI technique of high frequency (5.0～7.5 MHz) was used to examine the major arterial supply of the flap and modify the design accordingly. At last, the modified flap was transferred to cover the defect. Results\ All the patients except one underwent the operation successfully. The cosmetic and functional results of the flap were excellent. Conclusion\ CDFI is a simple, direct and accurate method for detecting the vascular supply of an axial pattern flap. This technique should be popularized to avoid blindness of flap design.\;

关 键 词：彩色多普勒 轴型皮瓣 血管 

分 类 号：R622[医药卫生—整形外科]