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多普勒联合皮岛监测在观察埋藏式游离皮瓣术后血供中的应用
引用本文:徐美爱,姜晓华,肖芒. 多普勒联合皮岛监测在观察埋藏式游离皮瓣术后血供中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2013, 0(24): 1363-1365
作者姓名:徐美爱  姜晓华  肖芒
作者单位:[1]台州市三门县人民医院耳鼻咽喉科,浙江台州317100 [2]浙江大学医学院附属邵逸夫医院耳鼻咽喉-头颈外科,浙江台州317100
摘    要:目的:探索埋藏式游离皮瓣的可行性监测手段。方法:运用联合监测手段对5例晚期需使用埋藏式游离皮瓣修复的喉咽癌患者进行监测,回顾性分析监测效果。结果:5例患者均获得一期成功,未发生血管危象;4例患者需联合监测手段予以确认皮瓣血供。结论:多普勒联合皮岛监测共同观察埋藏式游离皮瓣术后血供切实可行,是一个较好的监测手段。

关 键 词:喉咽肿瘤  股前外侧皮瓣  埋藏式游离皮瓣  监测技术  多普勒

Application of Doppler combined with flap island on mornitoring the post-operative blood supply of buried free flap
XU Meiai,JIANG Xiaohua,XIAOMang. Application of Doppler combined with flap island on mornitoring the post-operative blood supply of buried free flap[J]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2013, 0(24): 1363-1365
Authors:XU Meiai  JIANG Xiaohua  XIAOMang
Affiliation:1Department of Otorhinolaryngology, Sanmen People's Hospital, Taizhou, 317100, China;2Department of Otorhinolaryngology-Head and Neck Surgery, Sir Run Run Shaw Hospital, Hangzhou)
Abstract:To explore the feasible mornitoring techniques for the buried free flap. Method: Buried free flaps in reconstruction were mornitored using combined mornitoring techniques in five cases of advanced hypo- pharyngeal cancer The mornitoring effects were analyzed retrospectively. Result: The operations were carried out successfully and all the five patients got primary healings of incision without vascular crisis. Four patients need combined mornitoring techniques to confirm the microcirculatory results of the buried free flap. Conclusion: Appli- cation of Doppler combined with flap island was feasible on mornitoring the blood supply of post-operative buried free flap, it is a good mornitoring technique.
Keywords:hypopharyngeal neoplasms  anterolateral thigh flap  buried free flap  mornitoring techniques  Dopper
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