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横行腹直肌肌皮瓣血流动力学的超声多普勒检测(附5例临床应用)
引用本文:陈述政,狄根红,潘蕾,纪建松,黄岩花. 横行腹直肌肌皮瓣血流动力学的超声多普勒检测(附5例临床应用)[J]. 中国中西医结合外科杂志, 2011, 17(1): 36-39. DOI: 10.3969/j.issn.1007-6948.2011.01.013
作者姓名:陈述政  狄根红  潘蕾  纪建松  黄岩花
作者单位:1. 温州医学院附属第五医院丽水市中心医院乳腺外科,丽水,323000
2. 复旦大学附属肿瘤医院乳腺外科
3. 温州医学院附属第五医院丽水市中心医院影像诊断科,丽水,323000
基金项目:丽水市科技局科技计划项目资助
摘    要:目的:探讨彩色多普勒超声对横行腹直肌肌皮瓣血流动力学的评估方法及其在乳房再造手术中的运用价值。方法:应用彩色多普勒高频探头对100例健康志愿者200条腹壁下动脉进行检测,同时,为5例乳腺癌术后乳房缺损患者行乳房再造手术。结果:200条腹壁下动脉均显示,PSV、D1各组间统计学差异显著(P〈0.05)。横行腹直肌肌皮瓣乳房再造术5例,术后彩色多普勒超声皮瓣血流评估,皮瓣均存活,皮瓣血管通畅,再造乳房外观良好。结论:彩色多普勒超声检测腹壁下动脉是了解横行腹直肌肌皮瓣血运的直观、可靠且无创的方法;术前运用彩色多普勒超声对皮瓣血流进行评估,有利于筛选手术适应证,同时可指导肌皮瓣设计。

关 键 词:横行腹直肌肌皮瓣  乳房再造术  彩色多普勒超声  腹壁下动脉

Ultrasound Doppler Used in Detecting TRAM Flap Hemodynamics and Clinical Application of 5 Cases
Chen Shuzheng,Di Genhong,Pan Lei,et al.. Ultrasound Doppler Used in Detecting TRAM Flap Hemodynamics and Clinical Application of 5 Cases[J]. Chinese Journal of Surgery of Integrated Traditional and Western Medicine, 2011, 17(1): 36-39. DOI: 10.3969/j.issn.1007-6948.2011.01.013
Authors:Chen Shuzheng  Di Genhong  Pan Lei  et al.
Affiliation:Chen Shuzheng,Di Genhong,Pan Lei,et al. Breast Center,the 5th Hospital Affiliated to Wenzhou Medical college,The Central Hospital of Lihsui City,Lishui (323000),China
Abstract:Objective To evaluate the application of color Doppler ultrasonography in detecting hemodynamics of transverse rectus abdominis musculocutaneous (TRAM) flap and used in breast reconstruction surgery after mastectomy. Methods Color Doppler ultrasonography was used in detecting 200 inferior epigastric arteries of 100 healthy volunteers and five breast cancer patients who after mastectomy accepted this method for breast reconstruction surgery, all of them used color Doppler ultrasound to assess blood flow mech...
Keywords:TRAM flap (transverse rectus abdominis musculocutaneous flap)  breast reconstruction surgery  Color Doppler ultrasonography  inferior epigastric artery.  
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