CAJ | 학술논문

目的应用超声造影技术和三维重建技术检查腹壁下动脉穿支皮瓣(DIEP)血管,全面获取穿支血管的解剖信息,为临床提供更为准确的术前导航.方法在常规超声基础上运用超声造影对43例乳房重建患者行DIEP穿支血管检查,并在超声造影状态下行三维重建.除定位穿支血管出肌点外,力求更清晰、直观地显示穿支的走行、与主干的关系以及穿支在皮瓣内的分支、分布情况.结果超声造影清晰地显示和定位了40例(93％)DIEP穿支血管,并能明确其在肌层的走行、与主干的关系;对41例(95％)DIEP穿支进行重建图像获得较为满意的三维图像,可更全面直观地显示穿支血管的空间结构.所有病例均在术中证实超声所见,术后皮瓣均存活.结论超声造影和三维重建技术能在常规超声基础上更全面、准确地定位和显示穿支血管,为DIEP穿支血管术前和术中发挥重要的导航作用.
목적 응용초성조영기술화삼유중건기술검사복벽하동맥천지피판(DIEP)혈관,전면획취천지혈관적해부신식,위림상제공경위준학적술전도항.방법 재상규초성기출상운용초성조영대43례유방중건환자행DIEP천지혈관검사,병재초성조영상태하행삼유중건.제정위천지혈관출기점외,력구경청석、직관지현시천지적주행、여주간적관계이급천지재피판내적분지、분포정황.결과 초성조영청석지현시화정위료40례(93％)DIEP천지혈관,병능명학기재기층적주행、여주간적관계;대41례(95％)DIEP천지진행중건도상획득교위만의적삼유도상,가경전면직관지현시천지혈관적공간결구.소유병례균재술중증실초성소견,술후피판균존활.결론 초성조영화삼유중건기술능재상규초성기출상경전면、준학지정위화현시천지혈관,위DIEP천지혈관술전화술중발휘중요적도항작용.
Objective To assess the deep inferior epigastric perforator (DIEP) vessels in patients with breast reconstruction flaps by contrast-enhanced ultrasound (CEUS) and three-dimensional ultrasound (3DUS) reconstruction techniques.Methods Conventional ultrasound,CEUS and 3DUS were used to evaluate DIEP vessels of breast reconstruction flaps in 43 patients before surgical procedures.The identification,localization and spatial relationship of DIEP vessels were analyzed with conventional ultrasound,CEUS and 3DUS methods.The findings of CEUS and 3DUS were compared to conventional ultrasound and surgical outcome.Results Compared to CDFI,40 cases (93％) were observed more clearly with CEUS,and were showed more accurately than conventional ultrasound.41 cases (95％) could be displayed wonderfully in 3D ultrasound.Perforators which were detected by ultrasound were confirmed in the surgery and the transferred flaps survived completely.Conclusions Perforators can be displayed more clearly and located more accurately by CEUS and 3DUS.CEUS and 3DUS could play a very important role in the preoperative navigation of the DIEP than conventional ultrasound.