彩色多普勒超声联合CT血管造影检查在下肢穿支血管术前定位中的应用效果  

Application effects of color Doppler ultrasound combined with CT angiography in preoperative localization of lower extremity perforator vessels

作　　者：高玉凤 GAO Yufeng(Department of Ultrasound of Shangqiu Municipal Hospital,Shangqiu 476300 Henan,China)

机构地区：[1]商丘市立医院超声科,河南商丘476300

出　　处：《中国民康医学》2024年第11期105-107,111,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析彩色多普勒超声(CDU)联合CT血管造影(CTA)检查在下肢穿支血管术前定位中的应用效果。方法:回顾性分析2022年6月至2023年6月该院收治的200例下肢软组织缺损修复患者的临床资料,根据不同血管定位检查方式将其分为CDU组(n=66)、CTA组(n=66)、联合组(n=68)。比较三组优势穿支血管识别率、优势穿支血管定位准确率,检查时间、取瓣时间、取瓣成功率,并发症发生率、术后生命质量[Barthel指数(BI)]评分。结果:三组优势穿支血管识别率比较,差异无统计学意义(P>0.05);联合组优势穿支血管定位准确率高于CDU组,相差距离低于CDU组、CTA组,差异均有统计学意义(P<0.05);CDU组优势穿支血管定位准确率、相差距离与CTA组比较,差异均无统计学意义(P>0.05);联合组优势穿支血管定位准确率与CTA组比较,差异无统计学意义(P>0.05);联合组检查时间长于CDU组、CTA组,取瓣时间短于CDU组、CTA组,取瓣成功率高于CDU组、CTA组,差异均有统计学意义(P<0.05);CDU组与CTA组检查时间、取瓣时间及取瓣成功率比较,差异均无统计学意义(P>0.05);联合组BI评分高于CDU组、CTA组,并发症发生率低于CDU组、CTA组,差异均有统计学意义(P<0.05);CDU组与CTA组BI评分、并发症发生率比较,差异均无统计学意义(P>0.05)。结论:CDU联合CTA检查应用于下肢穿支血管术前定位可提高优势穿支血管定位准确率、取瓣成功率和生命质量评分,缩短取瓣时间和相差距离,以及降低并发症发生率的效果优于二者单项检查效果,但检查时间较长。Objective:To analyze application effects of color Doppler ultrasound(CDU)combined with CT angiography(CTA)in preoperative localization of lower extremity perforator vessels.Methods:The clinical data of 200 patients with lower extremity soft tissue defect repair admitted to this hospital from June 2022 to June 2023 were retrospectively analyzed.According to different vascular localization methods,they were divided into CDU group(n=66),CTA group(n=66)and combined group(n=68).The recognition rate of dominant perforator vessels,the accuracy rate of dominant perforator vessels localization,the examination time,the flap removal time,the success rate of flap removal,the incidence of complications,and the postoperative quality of life[Barthel index(BI)]score were compared among the three groups.Results:There was no significant difference in the recognition rate of dominant perforator vessels among the three groups(P>0.05).The accuracy rate of dominant perforator vessels localization in the combined group was higher than that in the CDU group,the difference distance was lower than that in the CDU group and the CTA group,and the differences were statistically significant(P<0.05).There were no statistical differences in the accuracy rate of dominant perforator vessels localization and the difference distance between the CDU group and the CTA group.There was no statistical difference in the accuracy rate of dominant perforator vessels localization between the combined group and the CTA group.The examination time of the combined group was longer than that of the CDU group and the CTA group,the flap removal time was shorter than that of the CDU group and the CTA group,the success rate of flap removal was higher than that of the CDU group and the CTA group,and the differences were statistically significant(P>0.05).There were no significant differences in the examination time,the flap removal time and the success rate of flap removal between the CDU group and the CTA group(P>0.05).The BI score of the combined group was higher th

关 键 词：下肢软组织缺损 修复 穿支血管术 彩色多普勒超声 CT血管造影 生命质量 

分 类 号：R622[医药卫生—整形外科]