彩色多普勒血流成像技术在低旋转点腓肠神经营养血管皮瓣移植中的临床应用

李勇; 许瑾; 丁中; 章祥洲; 徐东卫; 李方奇; 武朱明; 余勇; 卓丹; 张松

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彩色多普勒血流成像技术在低旋转点腓肠神经营养血管皮瓣移植中的临床应用

李勇 , 许瑾 , 丁中 , 章祥洲 , 徐东卫 , 李方奇 , 武朱明 , 余勇 , 卓丹 , 张松

文章导航 > 蚌埠医学院学报 > 2011, 36 > 11: (1201-1203)

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Citation:

彩色多普勒血流成像技术在低旋转点腓肠神经营养血管皮瓣移植中的临床应用

1. 安徽省蚌埠市第三人民医院烧伤整形科, 233000;
2. 安徽省蚌埠市第三人民医院超声科, 233000

作者简介: 李勇(1970-),男,副主任医师.

中图分类号: R622.4

The clinical application of color doppler flow imaging in the transplant of lower rotating point sural nurocutaneous vascular flap

1. Department of Burn and Plastic Surgery, Bengbu Third People's Hospital, Bengbu Anhui 233000, China;
2. Department of Ultrasound, Bengbu Third People's Hospital, Bengbu Anhui 233000, China
CLC number: R622.4

摘要: 目的:应用高分辨率彩色多普勒血流成像技术(CDFI)对外踝后间隙内腓动脉穿支的分布情况、血管口径及血流动力学参数进行研究,为术前评估血管质量及低旋转点腓肠神经营养血管皮瓣的设计提供依据。方法:应用高分辨率彩色多普勒超声对9例患者行外踝后间隙内腓动脉穿支进行检测,统计距外踝尖上0~3 cm范围内起始管径≥ 0.5 mm腓动脉穿支血管的数目、起始处内径以及血流动力学参数,标记穿出深筋膜位置,并实施低旋转点腓肠神经营养血管皮瓣移植术。结果:共检出穿动脉总数22支,穿支起始处内径为(0.78±0.23) mm,穿出筋膜位置距外踝尖上(1.66±0.91) cm,收缩期血流峰值(0.19±0.03) m/s。术中见腓动脉穿支穿出深筋膜位置、走行方向与术前体表定位完全吻合,皮瓣完全成活。结论:CDFI可以直观地显示外踝后间隙内腓动脉穿支的分布情况、血管口径、血流状态,并能在体表准确定位,可用于术前评价穿支血管质量,为低旋转点腓肠神经营养血管皮瓣的设计提供可靠依据。
- 血管/移植 /
- 彩色多普勒血流成像 /
- 腓动脉 /
- 穿支皮瓣
Abstract: Objective:To study the distribution of peroneal artery of lateral post-clearance and vascular diameter and hemodynamic parameters by high-resolution color Doppler flow imaging(CDFI) provides a basis of the preoperative evaluation of vascular quality and the design of low-rotation point sural neurovascular flap. Methods:A total of 9 cases patients were collected for this study from December 2009 to March 2011,each case was detected the number of perforating branches of the peroneal artery,the beginning of diameter and hemodynamic parameters which the initial diameter is bigger than 0.5 mm and the range is 0 to 3 cm from the lateral tip, then mark the location of where it pierces the deep fascia and implement the operation of low-rotation point sural neurovascular flap graft. Results:Twenty-two perforating arteries were recorded,initial diameter of perforating arteries were (0.78±0.23) mm,the length of the piercing point from deep fascia to the lateral tip was(1.66±0.91) cm,the vascular flow peak systolic velocity was (0.19±0.03) m/s. The location of the perforating point from deep fascia and traveling direction were completly anastomosised with preoperative positioning of the body surface. All flaps survived completely. Conclusions:CDFI can show the distribution of peroneal artery of lateral post gap and vascular diameter and hemodynamic condition and can accurately locate the surface positioning,which can be used for preoperative evaluation of the quality of perforating branches of blood vessels and provide scientific basis for the design of low-rotation point of sural neurovascular flap.
- vascular/grafting /
- color Doppler flow imaging /
- peroneal artery /
- perforator flaps

[1]	倪进荣 , 滕晓峰 , 陈新军 , 陈占斌 . 游离骨间背动脉穿支皮瓣移植修复手部中小面积皮肤缺损19例. 蚌埠医学院学报, 2016, 41(5): 600-602. doi: 10.13898/j.cnki.issn.1000-2200.2016.05.014
[2]	尹玉凤 , 熊竹友 , 李光早 , 张莉 , 徐静 , 高嵩 . 改良胸背动脉穿支皮瓣的临床应用. 蚌埠医学院学报, 2017, 42(4): 437-440. doi: 10.13898/j.cnki.issn.1000-2200.2017.04.006
[3]	杨彩芳 . 彩色多普勒超声血流成像联合超声弹性成像对乳腺肿块的定性诊断价值. 蚌埠医学院学报, 2017, 42(2): 246-248,252. doi: 10.13898/j.cnki.issn.1000-2200.2017.02.036
[4]	郑一君 , 陈庆 , 焦荣红 , 陈剑 , 龚丽萍 , 江泉 , 夏小凤 . 彩色多普勒血流成像和声触诊组织定量分析在早期诊断高血压肾脏损害中的作用. 蚌埠医学院学报, 2017, 42(6): 806-807,810. doi: 10.13898/j.cnki.issn.1000-2200.2017.06.034
[5]	陈晓艺 , 王金萍 , 王琴 . 经阴道二维超声、三维容积超声及血流显像在脱出型黏膜下肌瘤诊断中应用价值. 蚌埠医学院学报, 2021, 46(12): 1768-1771. doi: 10.13898/j.cnki.issn.1000-2200.2021.12.032
[6]	毛坚 . 彩色多普勒超声对股前外侧皮瓣穿支血管术前评估的研究. 蚌埠医学院学报, 2010, 35(5): 508-510.
[7]	张莉 , 董佳生 , 戴传昌 , 林晓曦 , 王炜 . 腹壁下动脉穿支皮瓣的应用解剖及临床. 蚌埠医学院学报, 2006, 31(1): 27-29.
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[10]	王志龙 , 季远 , 吕岩丽 . 胸背动脉穿支皮瓣对手背软组织缺损的修复效果. 蚌埠医学院学报, 2020, 45(9): 1204-1206, 1210. doi: 10.13898/j.cnki.issn.1000-2200.2020.09.017
[11]	赵凤娟 , 王飞 , 杨艳丽 , 杨静 . 腓肠神经营养血管筋膜蒂逆行岛状皮瓣移植术护理. 蚌埠医学院学报, 2009, 34(3): 256-257.
[12]	丁长年 , 徐小春 , 杨绪亮 , 路勇 , 武剑 . 负压封闭引流技术联合胫后动脉内踝上穿支皮瓣修复足踝部感染创面的临床应用. 蚌埠医学院学报, 2014, 39(8): 1062-1064.
[13]	刘金凤 , 李勇 , 余勇 , 卓丹 . 腓肠浅动脉筋膜蒂皮瓣修复膝关节外露创面应用体会. 蚌埠医学院学报, 2008, 33(3): 321-322.
[14]	周平辉 , 赵玉振 , 张宝玉 , 阮传江 , 张莉 . 腓肠神经营养血管逆行岛状皮瓣修复足踝部皮肤缺损. 蚌埠医学院学报, 2010, 35(8): 791-793.
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[16]	魏然 , 王波 , 方松涛 . 二维血流显像技术与彩色多普勒在颈内动脉颅外段显像的比较. 蚌埠医学院学报, 2004, 29(2): 172-173.
[17]	彭光生 , 王玲 . 彩色多普勒检测胎儿动脉血流动力学指标预测胎儿宫内缺氧的价值. 蚌埠医学院学报, 2009, 34(1): 49-52.
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[20]	刘丽 , 商琼琼 , 赵永娟 , 徐静 . 滑车上动脉血管蒂额部皮瓣鼻再造的护理体会. 蚌埠医学院学报, 2011, 36(12): 1419-1420.

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彩色多普勒血流成像技术在低旋转点腓肠神经营养血管皮瓣移植中的临床应用

作者简介: 李勇(1970-),男,副主任医师.

1. 安徽省蚌埠市第三人民医院烧伤整形科, 233000;
2. 安徽省蚌埠市第三人民医院超声科, 233000

收稿日期: 2011-04-06

关键词:

摘要: 目的:应用高分辨率彩色多普勒血流成像技术(CDFI)对外踝后间隙内腓动脉穿支的分布情况、血管口径及血流动力学参数进行研究,为术前评估血管质量及低旋转点腓肠神经营养血管皮瓣的设计提供依据。方法:应用高分辨率彩色多普勒超声对9例患者行外踝后间隙内腓动脉穿支进行检测,统计距外踝尖上0~3 cm范围内起始管径≥ 0.5 mm腓动脉穿支血管的数目、起始处内径以及血流动力学参数,标记穿出深筋膜位置,并实施低旋转点腓肠神经营养血管皮瓣移植术。结果:共检出穿动脉总数22支,穿支起始处内径为(0.78±0.23) mm,穿出筋膜位置距外踝尖上(1.66±0.91) cm,收缩期血流峰值(0.19±0.03) m/s。术中见腓动脉穿支穿出深筋膜位置、走行方向与术前体表定位完全吻合,皮瓣完全成活。结论:CDFI可以直观地显示外踝后间隙内腓动脉穿支的分布情况、血管口径、血流状态,并能在体表准确定位,可用于术前评价穿支血管质量,为低旋转点腓肠神经营养血管皮瓣的设计提供可靠依据。

English Abstract

The clinical application of color doppler flow imaging in the transplant of lower rotating point sural nurocutaneous vascular flap

1. Department of Burn and Plastic Surgery, Bengbu Third People's Hospital, Bengbu Anhui 233000, China;
2. Department of Ultrasound, Bengbu Third People's Hospital, Bengbu Anhui 233000, China

Received Date: 2011-04-06

Abstract: Objective:To study the distribution of peroneal artery of lateral post-clearance and vascular diameter and hemodynamic parameters by high-resolution color Doppler flow imaging(CDFI) provides a basis of the preoperative evaluation of vascular quality and the design of low-rotation point sural neurovascular flap. Methods:A total of 9 cases patients were collected for this study from December 2009 to March 2011,each case was detected the number of perforating branches of the peroneal artery,the beginning of diameter and hemodynamic parameters which the initial diameter is bigger than 0.5 mm and the range is 0 to 3 cm from the lateral tip, then mark the location of where it pierces the deep fascia and implement the operation of low-rotation point sural neurovascular flap graft. Results:Twenty-two perforating arteries were recorded,initial diameter of perforating arteries were (0.78±0.23) mm,the length of the piercing point from deep fascia to the lateral tip was(1.66±0.91) cm,the vascular flow peak systolic velocity was (0.19±0.03) m/s. The location of the perforating point from deep fascia and traveling direction were completly anastomosised with preoperative positioning of the body surface. All flaps survived completely. Conclusions:CDFI can show the distribution of peroneal artery of lateral post gap and vascular diameter and hemodynamic condition and can accurately locate the surface positioning,which can be used for preoperative evaluation of the quality of perforating branches of blood vessels and provide scientific basis for the design of low-rotation point of sural neurovascular flap.