红外热像仪联合高频彩色多普勒超声在股前外侧穿支皮瓣移植术前穿支定位中的应用  

Application of infrared thermography combined with high frequency color Doppler ultrasound in locating perforator before anterolateral thigh perforator flap transplantation

作　　者：许甜甜[1] 林平[1] 陈爱兰[1] 黄志丹[1] 徐伟华 马犇 Xu Tiantian;Lin Ping;Chen Ailan;Huang Zhidan;Xu Weihua;Ma Ben(Department of Hand and Foot Surgery,Jinhua Central Hospital,Zhejiang 321000,China)

机构地区：[1]金华市中心医院手足外科,浙江321000

出　　处：《中华手外科杂志》2018年第6期414-417,共4页Chinese Journal of Hand Surgery

基　　金：金华市科技计划重点项目(2014-3-005).

摘　　要：目的 探讨红外热像仪联合高频彩色多普勒超声在游离股前外侧穿支皮瓣(anterolateral thigh perforator flap,ALTPF)移植术前穿支血管定位中的作用。方法 自2016年1月至2017年10月对40例游离ALTPF移植术患者,术前应用红外热像仪、高频彩色多普勒超声检查,比较两者在穿支血管术前导航有效穿支数量、体表位置两个方面的符合率。结果 40例患者共可见115个热源,其中共同所见111个热源,其体表位置几近吻合,4个不符。二者术前所见有效穿支在数量及位置的符合率为97%。结论 红外热像技术联合高频彩色多普勒超声能有效指导临床医生完成穿支血管术前评估,尽可能准确地检出有效穿支,为临床医生制定最佳皮瓣移植方案,最大程度降低皮瓣移植风险起到积极指导作用。Objective To explore the clinical efficacy of infrared thermography combined with high frequency color Doppler ultrasound in locating perforator before anterolateral thigh perforator flap (ALTPF)transplantation.Methods From January2016to October2017,40patients with free ALTPF transplantation were examined by infrared thermography and high-frequency color Doppler ultrasound before operation.The number of effective perforating branches and the body surface position from the two methods were compared.Results A total of115heat sources were observed in40patients,of which 111heat sources were found in common.Their body surface positions were almost identical and the other 4were not identical.The coincidence rate of the number and.position of effective perforators in the two groups was97%.Conclusion The infrared thermography combined with high frequency color Doppler ultrasound can effectively guide the surgeons to complete the preoperative evaluation of perforator vessels and detect the effective ones as accurately as possible.It also can play an active role in guiding surgeons to make the best flap transplantation scheme and minimize the risk of flap transplantation.

关 键 词：外科皮瓣 移植 超声检查 多普勒 红外热像仪 定位 

分 类 号：R658[医药卫生—外科学]