Force CT微细血管解剖成像技术及其临床应用  

Force CT microvascular anatomical imaging technology and its clinical application

作　　者：张迪 齐耀东 仇申强 陶鸿志 王增涛[1] ZHANG Di;QI Yaodong;QIU Shenqiang;TAO Hongzhi;WANG Zengtao(Department of Hand and Foot Surgery,Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Imaging Department,Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Shandong First Medical University,Jinan 250021,China)

机构地区：[1]山东第一医科大学附属山东省立医院手足外科,济南250021 [2]山东第一医科大学附属山东省立医院影像科,济南250021 [3]山东第一医科大学,济南250021

出　　处：《中华显微外科杂志》2022年第6期650-655,共6页Chinese Journal of Microsurgery

基　　金：山东省自然科学基金(ZR202102181095)。

摘　　要：目的探讨Force CT微细血管解剖成像技术扫描及图像重建参数、后处理技术及临床应用效果。方法回顾2019年4月至2021年6月山东第一医科大学附属山东省立医院手足外科使用Force CT微细血管解剖成像技术进行术前评估的游离组织瓣移植患者共50例,其中男34例,女16例;年龄3~67(平均37)岁;包括游离皮瓣33例、游离复合组织瓣10例及手指再造7例,分别进行CTA图像评分及临床应用评价,术后采用门诊复诊、电话、微信等方式进行随访。结果50例患者共73个部位的Force CT微细血管解剖成像评分合格率以及与临床实际的吻合率为100%;所有组织瓣及再造手指均完全成活,未发生血管危象,无并发症。术后随访3~15个月,平均11个月,皮瓣愈合良好;7例再造手指中6例外观满意,1例因指体臃肿行整形术;所有皮瓣感觉恢复良好。结论Force CT微细血管解剖成像技术能对微细血管进行精准显示与重建,对游离组织瓣移植手术方案的设计和实施有指导意义,具有很好的推广价值。Objective To explore the scanning and image reconstruction parameters,post-processing technology and effect of clinical application of Force CT microvascular anatomy imaging technology.Methods From April 2019 to June 2021,50 cases of free tissue flap transfer were reviewed in Department of Hand and Foot Surgery of Provincial Hospital Affiliated to Shandong First Medical University,including 34 males and 16 females in 3-67(mean,37)years old.In which,33 cases were free flap,10 were free composite tissue flap and 7 were digit reconstruction.CTA image score and clinical application evaluation were performed respectively.Follow-up was conducted by outpatient visit,telephone call and WeChat.Results The qualified rate of Force CT microvascular anatomy imaging in 73 parts of 50 patients and the coincidence rate with clinical practice were 100%.All tissue flaps and reconstructed digits survived completely.No vascular compromise and other complicatiors occurred.The postoperative follow-up was 3 to 15 months,with an average of 11 months,and the flap healed well.Of the 7 reconstructed digits,6 were satisfactory in appearance and 1 was reconstructed with flap plasty because of digit bloat.Conclusion Force CT microvascular anatomical imaging technology can accurately display and reconstruct microvessels,and has guiding significance for the design and transfer of free tissue flap,which has a good promotion value.

关 键 词：微血管 CT血管造影 外科皮瓣 复合组织瓣 手指再造 显微外科 

分 类 号：R658[医药卫生—外科学]