| 卡米力江·买买提明,库都斯·克依木,米尔阿迪力·阿布都卡迪尔,闫广鹏,许 辉.CTA联合CEUS在锁骨上皮瓣术前设计中的应用[J].,2021,(4):694-697 |
| CTA联合CEUS在锁骨上皮瓣术前设计中的应用 |
| Application of CTA and CEUS for the Preoperative Design of Clavicle Flap |
| 投稿时间：2020-05-06 修订日期：2020-05-30 |
| DOI：10.13241/j.cnki.pmb.2021.04.019 |
| 中文关键词: 计算机断层扫描血管造影 对比增强超声 锁骨上皮瓣 造影剂 |
| 英文关键词: Computed tomography angiography Contrast-enhanced ultrasound Clavicle flap Contrast agent |
| 基金项目:新疆维吾尔自治区卫生计生委青年医学科技人才专项科研项目(WJWY-201855) |
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| 中文摘要: |
| 摘要 目的：探讨计算机断层扫描血管造影(CTA)联合对比增强超声(CEUS)在锁骨上皮瓣术前设计中的应用价值。方法：将2016年1月～2018年12月本院收治的15例锁骨上皮瓣术前患者作为研究对象。所有患者术前进行CTA和CEUS联合检查以观察锁骨上动脉穿支解剖变异及走行，应用于锁骨上皮瓣术前的辅助设计，评估该方法的成功率和并发症的发生情况。结果：15例患者的锁骨上动脉来源于颈横动脉，其中5例(33.33 %)来自甲状颈干，10例(66.67 %)来自锁骨下动脉。CTA检查中，10例识别出右锁骨上动脉，血管平均长度为(38.25±11.08)mm，血管平均直径(1.52±0.45)mm；13例确定了左锁骨上动脉，血管平均长度为(38.14±11.05)mm，血管平均直径(1.52±0.51)mm。CEUS检查的15个皮瓣中，发现27个胸锁骨上动脉的胸廓分支(TBSA)，平均口径为(0.8±0.2)mm，平均收缩期峰值流速(PSV)为(11.95±2.08)cm/s。所有病例(100 %)术中观察皮瓣血管数量、走形等情况与术前影像学相一致的手术结果。与造影剂有关的并发症发生率为6.67 %。所有患者均随访1年以上，无进一步并发症，手术效果满意。结论：将CTA和CEUS相结合用于锁骨上皮瓣术前的辅助设计，可互为补充，尤其适用于锁骨上皮瓣(SCF)存在血管解剖变异而且管径细小的皮瓣术前设计。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the application value of computed tomography angiography (CTA) combined with contrast-enhanced ultrasound (CEUS) for the preoperative design of clavicle flaps. Methods: Fifteen patients with clavicle epithelium flap treated in our hospital from January 2016 to December 2018 were selected as the research object. All patients underwent a combined CTA and CEUS examination before surgery to observe the anatomical variation and travel of the supraclavicular artery perforator. It was applied to the auxiliary design of the clavicle flap before surgery, and the success rate and complications of this method were evaluated. Results: The supraclavicular artery of 15 patients originated from the transverse carotid artery, in which 5 cases (33.33%) came from the thyroid neck trunk and 10 cases (66.67%) came from the subclavian artery. In the CTA examination, 10 cases were identified the right superior clavicle artery, the average length of the blood vessel was (38.25±11.08) mm, and the average diameter of the vessel was (1.52±0.45) mm; 13 cases identified the left superior clavicle artery, and the average length of the vessel was (38.14±11.05) mm, and the average diameter of blood vessels was (1.52±0.51) mm. In CEUS examination, 27 thorax branches (TBSA) of the superior sternoclavicular artery were found in 15 skin flaps with an average caliber of (0.8±0.2) mm and an average peak systolic flow velocity (PSV) of (11.95±2.08) cm/s. In all cases (100 %), the surgical results of the number of flap blood vessels and the shape of the flap were consistent with the preoperative imaging. The incidence of contrast-related complications was 6.67 %. All patients were followed up for more than 1 year. No further complications were found and the results were satisfactory. Conclusion: The combination of CTA and CEUS for the preoperative design of clavicle epithelial flap, which can complement each other and is especially suitable for the clavicle epithelial flap (SCF) with small vascular anatomical variation and small diameter. |
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