- 期刊
A Simple Perforator Classification of Anterolateral Thigh Flap and Its Correlation with the Preoperative Doppler Examination
簡單的大腿前外側皮瓣穿透枝血管之分類及其與術前都卜勒檢查的相關性
摘要
大腿前外側皮瓣往往是軟組織缺損重建的第一首選，但此皮瓣的進端血管分支往往有很大的變異性，而且當其皮瓣穿透枝血管埋入肌肉內時會增加拿取這皮瓣的困難度。過去文獻也爲這皮瓣提出許多的分類方法，主要基於其近端血管分支的走向，但這些分類方式與臨床習性並無明顯的相關性。我們在這提出一個簡單的大腿前外側皮瓣穿透枝血管之分支。同實驗中，我們發現術前都卜勒除了可以探索皮瓣穿透枝血管的位置以外，尚可區分出不同分類的穿透枝血管，其中術前都卜勒三公分以上的連續線形訊號與肌肉內長大於六公分以上的皮瓣穿透枝血管有明確的相關性。
關鍵字
無資料並列摘要
Anterolateral thigh flap is often the first choice for the reconstruction of soft tissue defects, and it is also known for its variable anatomy of the vascular pedicle and the relatively difficult dissection when dealing with intramuscular perforators. Many classifications have been proposed based on its proximal branching pattern of its vascular pedicle, yet these classifications often have no correlation with clinical practices. We proposed a simple classification for the perforator of anterolateral thigh flap according to the routes and distance taken by the perforator in between the skin paddle and the pedicle. From this study, the preoperative Doppler examination has not only shown its value for locating the cutaneous perforators, but also for identifying of certain type of the perforator. Linear Dopple signal of 3cm or above preoperatively has positive correlation with intramuscular perforator greater than 6 cm intraoperatively.
延伸閱讀
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