CT血管造影定位穿支血管在股前外侧皮瓣手术中的应用

兰玉燕; 孙黎波; 张力; 周航宇

doi:10.13201/j.issn.1001-1781.2016.11.007

CT血管造影定位穿支血管在股前外侧皮瓣手术中的应用

- 1. 西南医科大学口颌面修复重建和再生实验室(四川泸州, 646000);
- 2. 西南医科大学附属口腔医院口腔颌面外科
基金项目:
四川省医学会科研课题计划（No：S15038）；西南医科大学附属口腔医院资助项目（No：201407）

详细信息

通讯作者: 孙黎波,E-mail:slb-324324@163.com

中图分类号: R762

收稿日期: 2016-03-23

Application of CT angiography for detecting perforator vessels in the anterolateral thigh flap surgery

- 1. Orofacial Reconstruction and Regeneration Laboratory, Southwest Medical University, Luzhou, 646000, China;
- 2. Department of Oral and Maxllofacial Surgery, Hospital of Stomatology, Southwest Medical University

More Information

Corresponding author: SUN Libo, E-mail: slb-324324@163.com

Received Date: 23 March 2016

摘要

摘要: 目的：探讨CT血管造影定位穿支血管在股前外侧皮瓣手术中的应用价值。方法：对8例拟行股前外侧皮瓣修复手术的患者，术前采用CT血管造影定位旋股外侧动脉降支穿支血管，选取管径较粗、血流丰富、血管蒂长的穿支血管设计皮瓣。结果：8例患者术前CT血管造影定位的穿支血管与术中所见完全吻合， 8例股前外侧皮瓣完全存活，1例发生血管危象，经手术探查后存活。切取皮瓣面积6 cm×4 cm~10 cm×5 cm，供区无运动感觉功能障碍。结论：术前运用CT血管造影可准确定位穿支血管位置，有利于皮瓣制备，减少手术风险和并发症，应用股前外侧皮瓣修复颌面部软组织缺损是一种有效的方法。
- CT血管造影 /
- 股前外侧皮瓣 /
- 穿支血管
Abstract: Objective: To investigate the effectiveness of CT angiography for detecting perforator vessels in the anterolateral thigh flap surgery.Method: Eight patients with oral and maxillofacial soft tissue defects were repaired with the anterolateral thigh flap. Preoperative CT angiography was conducted to detect perforator vessels. The perforator vessel with large diameter, abundant blood flow, and long pedicle was selected to design the flap.Result: The position of perforator vessels during operation were completely consistent with those detected by CT angiography. The anterolateral thigh flap for 8 cases tally survived.One case had the vascular crisis,which was survived after surgical exploration. The flap ranged from 10 cm×5 cm to 6 cm×4 cm in size. Donor recipient site was not severe complications.Conclusion: CT angiography can be used to locate the perforator vessels preoperatively and accurately,which is beneficial for surgeons to design the flap and reduce surgical complications. The anterolateral thigh flap is an effective method of repairing oral and maxillofacial soft tissue defects.
- CT angiography /
- anterolateral thigh flap /
- perforator vessels

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参考文献(12)

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