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彩色多普勒超声对胫后动脉皮瓣设计的价值
引用本文:李书兵,凌霞,都定元,田林. 彩色多普勒超声对胫后动脉皮瓣设计的价值[J]. 创伤外科杂志, 2007, 9(6): 525-526
作者姓名:李书兵  凌霞  都定元  田林
作者单位:重庆市急救医疗中心超声科,重庆,400014;重庆市急救医疗中心胸外科,重庆,400014;重庆市红岭医院,重庆,400010
摘    要:
目的 探讨彩色多普勒超声(CDFI)在设计胫后动脉皮瓣中的应用价值.方法 本组15例拟行胫后动脉皮瓣手术患者,术前均采用CDFI探测胫后动脉主干及肌皮穿支血管内径、位置、数量并予以体表标记和记录与手术对照.结果 共探及39条胫后动脉肌皮穿支,其内径约0.5~0.9mm.手术证实彩色多普勒超声定位准确,14例皮瓣存活,1例因血供区穿支动脉少(1支)而放弃.结论 彩色多普勒超声能无创、准确地测定胫后动脉肌皮穿支的分布、数量、内径,对临床皮瓣的设计有重要的指导意义.

关 键 词:超声  胫后动脉  皮瓣  定位
文章编号:1009-4237(2007)06-0525-02
修稿时间:2007-02-05

Value of color doppler ultrasound in the design of posterior tibial arterial skin flaps
LI Shu-bing,LING Xia,DU Ding-yuan,et al.. Value of color doppler ultrasound in the design of posterior tibial arterial skin flaps[J]. Journal of Traumatic Surgery, 2007, 9(6): 525-526
Authors:LI Shu-bing  LING Xia  DU Ding-yuan  et al.
Affiliation:Department of Ultrasonic, Chongqing Emergency Medical Center, Chongqing 400014, China
Abstract:
Objective To explore the value of color doppler ultrasound in the design of posterior tibial arterial skin flaps.Methods Fifteen patients were included in this study.Before operation,color doppler ultrasound was used to determine the radius and the number of the posterior tibial artery and its branches in order to design the skin flaps.Results Thirty-nine posterior tibial arterial branches were examined by color doppler ultrasound successfully and all the results were confirmed by operation,14 skin flaps survived while 1 was given up because of lack of branches of posterior tibial artery.Conclusion Color doppler ultrasound is a non-invasive,accurate technic in designing posterior tibial arterial skin flaps.
Keywords:ultrasound  posterior tibial artery  flap  orientation
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