刘俊,唐举玉,刘鸣江,谢松林,刘昌雄,何丽云.彩色多普勒超声在足趾移植再造拇指中的应用.[J].中南医学科学杂志.,2011,39(5):547-549.
彩色多普勒超声在足趾移植再造拇指中的应用
Using Color Doppler Image Formation Technology to Toe-To-Thumb Reconstruction
投稿时间:2011-01-12  
DOI:
中文关键词:  彩色多普勒  足趾移植  拇指再造  动脉  静脉
英文关键词:Color Doppler  Toe transplantation  Thumb reconstruction  Artery  Vein
基金项目:
作者单位
刘俊,唐举玉,刘鸣江,谢松林,刘昌雄,何丽云 南华大学附属南华医院 手外科湖南 衡阳 421002 
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中文摘要:
      目的利用彩色多普勒超声成像技术,了解患者供、受区血管情况,为足趾移植拇指再造提供合适的手术方案,提高足趾移植再造拇指的成功率。方法术前采用彩色多普勒检测供区足背动脉、第一跖背动脉及趾蹼分支、大隐静脉、足背静脉及受区桡动脉、头静脉的走行、口径大小情况,是否损伤或变异。结果再造36例拇指顺利成活,术后随访3~6个月,对比既往未采用彩色多普勒检测病人,术后并发症减少。结论彩色多普勒成像技术用于足趾移植再造拇指术前检查,有利于优化手术方案,缩短手术时间,减少供足并发症,提高再造成功率。
英文摘要:
      ObjectiveUsing Color Doppler image formation technology to know the condition of the vascular systems of either in the donor or the recipient site,so as to provide suitable operation scheme before the toe-to-thumb reconstruction and to raise reconstruction survival rate.MethodsBefore the operation,colour Doppler was used to examine the conditions of donor sites dorsalis pedis artery,the first dorsalis pedis artery and its branch,great saphenous vein and dorsum pedis vein,and the recipient sites radial artery and cephalic veins courser the size of calibe;The donor sites vein and the recipient sites artery and vein should also be examined to determine if there was damage or variation,and homologous disposal should be done after the conditions were ascertained.ResultsAll the 36 transplanted toes also survived,after the operation 3~6 month follow-ups were done,and it was found that the complications in the color Doppler group were less than those without checking with color Doppler before the operation.ConclusionsColor Doppler is used before the toe-to-thumb reconstruction operation,which can optimize operation scheme,shorten the time of operation,decrease donor-foot complication and boost survival rate of reconstruction.
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