红外线热成像在皮瓣移植术后循环监测中应用的系统评价  

A systematic review of infrared thermography in postoperative circulation monitoring after flap grafting

作　　者：汪晓霜[1] Wang Xiaoshuang(Day-Surgery Ward,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院日间病房,北京100035

出　　处：《中国医学前沿杂志（电子版）》2022年第9期54-61,共8页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的总结使用红外线热成像(infrared thermography,IRT)进行术后皮瓣监测的相关证据,并检查其适用性和可用性。方法检索中国知网、万方数据库、Embase、PubMed、Web of Science、Medline数据库,检索时限为建库至2022年2月。搜集符合纳入排除标准的临床研究,2名评价人员独立进行文献筛选、质量评价和资料提取。结果共纳入5篇研究,包含97个游离皮瓣。总结了IRT技术用于术后皮瓣监测中皮温混淆因素的控制方法、监测时机和时长、预测灌注失败的敏感性和特异性等信息。通过大量监测数据得到的标准进行预测,能够以93%的敏感性和96%的特异性比临床观察更早检测血管阻塞。吻合后与周围组织大于2K的温差也可能预测血管失败。结论IRT可用于皮瓣监测,在各种情况下显示高精度;然而,需要进一步的研究来充分证明IRT的潜力和建立更可靠的预测标准。Objective To summarize the evidence of infrared thermography(IRT)for postoperative flap monitoring and to examine its applicability and usability.Method The CNKI,Wanfang databse,Embase,PubMed,Web of Science and Medline were searched from inception to February 2022 to collect studies.Two reviewers independently performed literature screening,quality evaluation and data extraction.Result Five studies involving 97 free flaps were included.We summarized information on the methods of controlling skin temperature confounders,timing and duration of monitoring,and sensitivity and specificity of predicting perfusion failure in postoperative monitoring with IRT.With 93%sensitivity and 96%specificity,it can detect vascular occlusion earlier than clinical observation.A temperature difference of greater than 2K from the surrounding tissue after anastomosis may also predict vascular failure.Conclusion IRT can be used for flap monitoring with high accuracy in a variety of conditions.However,further studies are needed to fully demonstrate the potential of IRT and to establish more reliable.

关 键 词：红外线热成像 游离皮瓣 术后循环监测 系统评价 

分 类 号：R622[医药卫生—整形外科]