超声蒂部动脉血流动力学监测联合ESA在口腔颌面部缺损修补中的应用  

The Application of Ultrasonic Pedicle Artery Hemodynamic Monitoring Combined with ESA in Oral and Maxillofacial Defect Repair

作　　者：范轶群 刘覃俊 胡艳荷 汪艳晴 FAN Yiqun;LIU Qinjun;HU Yanhe;WANG Yanqing(Department of Stomatology,Wuhan No.9 Hospital,Wuhan 430081,Hubei,P.R.China;Department of Ultrasound Imaging,Wuhan No.9 Hospital,Wuhan 430081,Hubei,P.R.China;Department of Stomatology,Liyuan Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430065,Hubei,P.R.China;Department of Stomatology,The Second Hospital of WISCO,Wuhan 430085,Hubei,P.R.China)

机构地区：[1]武汉市第九医院口腔科,湖北武汉430081 [2]武汉市第九医院超声影像科,湖北武汉430081 [3]华中科技大学同济医学院附属梨园医院口腔科,湖北武汉430065 [4]湖北省武钢第二医院口腔科,湖北武汉430085

出　　处：《影像科学与光化学》2022年第4期794-798,共5页Imaging Science and Photochemistry

摘　　要：本研究探讨彩色多普勒超声蒂部动脉血流动力学监测联合动脉端侧吻合(ESA)在口腔颌面部缺损修补中的应用价值。选取口腔颌面部缺损修补的患者80例,根据患者住院号末尾奇偶数分为观察组(n=42)和对照组(n=38),观察组给予彩色多普勒超声蒂部动脉血流动力学监测联合ESA治疗,对照组给予ESA治疗。结果显示:观察组取瓣时间、动脉吻合时间明显短于对照组(P<0.05);观察组术后1 d、3 d和7 d时收缩期峰值速度(PSV)、血流量明显高于对照组(P<0.05),而阻力指数(RI)明显低于对照组(P<0.05);术后7 d血清白细胞介素-2(IL-2)明显高于对照组(P<0.05),而可溶性白细胞介素受体-2(sIL-2R)和唾液酸(SA)明显低于对照组(P<0.05)。彩色多普勒超声蒂部动脉血流动力学监测联合ESA具有取瓣时间及动脉吻合时间少、术后早期皮瓣血流动力学指标优等优点,在口腔颌面部缺损修补中有较好的应用价值。This study explored the application value of color Doppler ultrasound pedicle arterial hemodynamic monitoring combined with end-to-side arterial anastomosis(ESA)in the repair of oral and maxillofacial defects.80 patients with oral and maxillofacial defects repaired were selected,and they were divided into observation group(n=42)and control group(n=38)according to the parity of the end of hospitalization number.The observation group was treated with color Doppler ultrasound pedicle artery hemodynamic monitoring combined with ESA,the control group was treated with ESA.The results showed the valve removal time and arterial anastomosis time in the observation group were significantly shorter than those in the control group(P<0.05).peak systolic velocity(PSV)and blood flow in the observation group at 1 d,3 d and 7 d after operation were significantly higher than those in the control group(P<0.05),while resistance index(RI)was significantly lower than that in the control group(P<0.05).7 days after operation,the serum interleukin-2(IL-2)of the observation group was significantly higher than that of the control group(P<0.05),while the soluble interleukin receptor-2(sIL-2R)and sialic acid(SA)were significantly lower than that of the control group(P<0.05).Color Doppler ultrasound pedicle arterial hemodynamic monitoring combined with ESA has the advantages of less valve retrieval time and arterial anastomosis time,and excellent hemodynamic indexes of skin flap early after surgery.It is good in oral and maxillofacial defect repair value.

关 键 词：彩超 蒂部动脉血流动力学 动脉端侧吻合 口腔颌面部缺损修补 

分 类 号：R445.1[医药卫生—影像医学与核医学] R739.8[医药卫生—诊断学]