摘要
目的:研究血管成像(computed tomography angiography,CTA)与多普勒超声穿支动脉定位法在股前外侧皮瓣修复小腿部软组织缺损的临床应用效果。方法:采用随机数字表法将本院2014年7月至2016年7月收治的180例小腿部软组织缺损患者,分为非创伤性CTA组、多普勒超声血流探测仪组以及联合(CTA+术中多普勒超声血流探测仪)组(各60例),均采用股前外侧穿支皮瓣修复,比较3组的效果。结果:联合组诊断穿支动脉符合率为100.00%(60/60),明显高于多普勒超声血流探测仪组和CTA组的78.33%(47/60)和76.67%(46/60),组间差异有统计学意义(P<0.05)。联合组并发症发生率为3.33%(2/60),明显低于多普勒超声血流探测仪组和CTA组的15.00%(9/60)和13.33%(8/60),组间差异有统计学意义(P<0.05)。联合组满意度以及Barthel评分分别为(96.7±1.8)、(68.7±2.1)分,均明显高于多普勒超声血流探测仪组与CTA组(P<0.05)。结论:CTA联合术中多普勒超声血流探测仪诊断穿支动脉符合率最高,且股前外侧穿支皮瓣修复小腿部软组织缺损效果最佳,可作为临床优选方案推广使用。
Objective：To study the clinical effects of CTA and Doppler ultrasound positioning method for repairing perforating artery leg soft tissue defect in the anterolateral thigh flap.Methods：In our hospital from July2014 to July 2016,180 cases of leg soft tissue defect were randomly divided into non traumatic vascular imaging group（Computed Tomography,angiography,CTA）,Doppler ultrasound blood flow detector group and combination group（CTA ＋ intraoperative Doppler ultrasound blood flow detector） group,60 cases in each,were repaired by the anterolateral thigh flap,the effect was compared between the three groups.Results：The coincidence rate of the diagnosis of perforating arteries in the combined group was 100%（60/60）,which was higher than that of the Doppler ultrasonic blood flow detector group and the CTA group 78.33%（47/60）,76.67%（46/60）,and the difference between the two groups was statistically significant（P〈0.05）.The combined group complication rate was 3.33%（2/60）,significantly higher than that of Doppler ultrasound blood flow detector group and CTA group15%（9/60）,13.33%（8/60）,there was a statistical significance between the groups（P〈0.05）.The combined group had a satisfaction and Barthel score of 96.7±1.8,68.7±2.1,which was significantly higher than that of Doppler ultrasound blood flow detector group and CTA group,there was a statistical significance between the groups（P〈0.05）.Conclusion：The coincidence rate of perforating artery with Doppler ultrasound blood flow detector in CTA and operation is the highest,and the anterolateral thigh perforator flap is the best for repairing small leg soft tissue defect.It can be used as a clinical optimized scheme.
作者
李岩松
邓雪峰
林利忠
宋锦旗
LI Yan-song;DENG Xue-feng;LIN Li-zhong;SONG Jin-qi(Department of Trauma Orthopedics, Central Hospital of Longhua District of Shenzhen City, Shenzhen 518110, China)
出处
《现代医学》
2017年第11期1583-1586,共4页
Modern Medical Journal
基金
深圳市龙华新区科技创新项目(20160524A1030135)
关键词
股前外侧穿支皮瓣
小腿软组织缺损
非创伤性血管成像
多普勒超声血流探测仪
anterolateral thigh perforator flap
soft tissue defect of the leg
noninvasive vascular imaging
Doppler ultrasound blood flow detector
