彩色超声多普勒对腹壁浅动脉皮瓣血管的研究

发布时间：2017-12-28 21:17

本文关键词：彩色超声多普勒对腹壁浅动脉皮瓣血管的研究　出处：《中国超声医学杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨CDFI检测腹壁浅动静脉的应用价值,为腹壁浅动脉皮瓣的临床应用提供依据。方法采用CDFI随机检查60例健康志愿者双侧腹壁浅动静脉。观测两侧的出现率、走形层次、伴行关系、越过腹股沟韧带的位置距腹股沟韧带中点的距离及腹壁浅动脉的内径、PSV、PI。结果 120侧下腹壁检测到腹壁浅动脉102侧,显示率:85.00%,腹壁浅静脉120侧,显示率:100%。动静脉越过腹股沟韧带的位置距韧带中点分别为:(5.54±8.12)mm和(-6.75±9.39)mm。腹壁浅动脉起源内径(D1)为:(1.52±0.18)mm,越过腹股沟韧带内径(D2)为:(0.70±0.12)mm,PSV:(21.10±2.99)cm/s,PI:1.68±0.25。左右两侧动脉D1、D2、PSV、PI无统计学意义(P0.05),男性的D1、D2、PSV、PI均高于女性(P0.05)。结论 CDFI能清晰地显示及定位腹壁浅动静脉,具有操作简单、无损伤、重复性高等优点,可在术前对腹壁浅动脉皮瓣的血管进行评估,为术中皮瓣的设计提供影像学依据。
[Abstract]:Objective to explore the application value of CDFI in the detection of abdominal superficial arteriovenous (epigastric superficial vein), and to provide the basis for the clinical application of the superficial epigastric artery flap. Methods the superficial arteriovenous vein of bilateral abdominal wall was examined by CDFI randomly in 60 healthy volunteers. The observation on both sides of the running rate, level, concomitant relationship between and across the inguinal ligament located between the midpoint of the distance between the inguinal ligament and the superficial epigastric artery diameter, PSV, PI. Results 102 sides of the superficial abdominal wall were detected on the 120 sides of the abdominal wall, the display rate was 85%, the superficial vein of the abdominal wall was 120 side, and the display rate was 100%. The location of the arteriovenous crossing of the inguinal ligament was (5.54 + 8.12) mm and (-6.75 9.39) mm respectively. The origin of the superficial artery of the abdominal wall (D1) was (1.52 + 0.18) mm, and the internal diameter of the inguinal ligament (D2) was (0.70 + 0.12) mm, PSV: (21.10 + 2.99) cm/s, PI:1.68 + 0.25. There was no statistical significance between the left and right arteries D1, D2, PSV and PI (P0.05). The male D1, D2, PSV and PI were all higher than those of the women (P0.05). Conclusion CDFI can clearly display and locate the superficial abdominal arteriovenous. It has the advantages of simple operation, no damage and high repetition. It can evaluate the vessels of the superficial abdominal artery flap before operation, and provide the imaging evidence for the design of the flap during operation.
【作者单位】：蚌埠医学院第一附属医院耳鼻喉头颈外科;蚌埠医学院第一附属医院超声诊断科;蚌埠医学院第一附属医院口腔颌面外科;
【基金】：蚌埠医学院校自然科学项目(No.Byky1335)
【分类号】：R445.1;R656.3
【正文快照】： 腹壁浅动脉(superficial inferior epigastric artery,SIEA)皮瓣是近年应用于头颈部、四肢缺损修复和乳房再造的一种创伤较小的组织瓣[1-2]。具有供区微创隐蔽、功能良好、外形美观等优点,但SIEA属于终末血管,变异较大,临床应用中仅依靠经典的解剖学知识及有限的临床报道难以

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