【摘要】 目的 应用彩色多普勒血流成像技术（CDFI）对下肢皮瓣移植术前供区血管进行检测，掌握血管的来源走行、分布规律、体表的定位及血流动力学特点，为皮瓣设计提供依据。 方法 2005年1月-2009年7月，采用CDFI技术对38例下肢皮瓣内深部动脉干及其肌皮穿支动脉血管的数目、内径、走行方向及分布范围等形态学表现进行检测和血流动力学定量分析。 结果 检出供区皮瓣内深部动脉干38条，肌皮穿支动脉72条。手术所见与此一致。38例皮瓣全部成活。 结论 CDFI显像客观，简便易行，判断血管走行及功能可靠，能够准确测定下肢血管穿出部位和血管内径，对临床皮瓣设计，具有重要参考价值。
【Abstract】 Objective The color Doppler ultrasound was used to assess the design of lower limbs flaps and to understand the vessel distribution of the skin flaps, so as to provide basis for design of skin flap. Methods Between January 2005 and July 2009, 38 patients were enrolled in this study and the blood supply of their lower limbs prepared to design skin flap was analyzed by color Doppler flow imaging(CDFI), and the vascular diameter and blood stream distribution were observed respectively. The quality of the blood vessel and its flowing dynamics were measured. Results Before operation, the blood vessel in donor areas had been completely found(100%), and then the artery was verified by operation.For the skin flap in the donor areas, 38 branches of arteries were deep, 72 branches were shallow.The quality of the blood vessels by the color Doppler flow imaging was consistent with the results of operation. Conclusion The color Doppler flow imaging could show the quality of the blood vessels inside the donor area accurately.It is a premier choice for lower limb vascular examination for the design of skin flap.
Citation：
FU Rong,YOU XiaoBo,LIU Quan. Application of Color Doppler Ultrasound in the Design of Skin Flap on Lower Limbs. West China Medical Journal, 2010, 25(7): 1216-1217. doi:
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- 1. Benito Ruiz J, Yoon T, Guisantespintos E, et al. Reconstruction of self tissue defects of the heel with local fasciocutaneous flaps[J]. Ann Plast Surg, 2004, 52: 3802.
- 2. 丁小珩, 方光荣, 程国良, 等. 胫后动脉筋膜皮支小腿内侧皮瓣的临床应用[J]. 中华显微外科杂志, 1996, 19(2): 88-90.
- 3. 谢汉波, 平祖衡, 鲍同柱, 等. 彩色多普勒探查在带血管皮瓣移植术中的应用[J]. 中国超声医学杂志, 1997, 13(11): 722-724.
- 4. Ayyappan T, Chadha A. Super sural neurofasciocutaneous flaps in acute traumatic heel reconstructions[J]. Plast Reconstr Surg, 2002, 109(7): 2307-2313.
- 5. 李恒岩, 张羽森, 李炳万, 等. 拇指尺背侧动脉的超声探测[J]. 中华手外科杂志, 2005, 21(2): 133-135.
- 6. Brunelli F, Vigasio A, Valenti P, et al. Arterial anatomy and clinical application of the dorsum ulnar flap of the thumb[J]. Hand Surg(Am), 1999, 24: 803-811.
- 7. Celli N, Gaiani S, Piscaglia F, et al. Characterization of liver lesions by real-time contrast-enhanced ultrasonography[J]. Eur J Gastroenterol Hepatol, 2007, 19(1): 3-14.
- 8. 李军, 李主一, 陈尔瑜. 筋膜皮瓣术后血流量的动态变化[J]. 中华显微外科杂志, 1996, 19(4): 280-282.
- 9. 张莉, 李智贤, 刘达恩. 不同类型血供型皮瓣轴心动脉超声显像的探讨[J]. 中国超声医学杂志, 2006, 22: 58-60.
- 10. 史春娟, 周剑宇, 马宁. 彩色多普勒超声在轴型皮瓣设计中的应用[J]. 医学影像学杂志, 2008, 18(2): 178-182.
