CAJ | 학술논문

目的：探讨血流动力学指标对创伤后软组织缺损带血管蒂修复术后皮瓣坏死的预测价值。方法：选取2010年2月至2014年3月期间我院确诊并通过带血管蒂修复术治疗后皮瓣坏死的创伤后软组织缺损患者50例作为修复组，依据皮瓣坏死程度分为重度组、中度组、轻度组，选取同期体检中心健康人员10例作为健康组，对所有受试者均进行不同时点的血流速度（BFV）、血流灌注量相对值（BPR）检测，采用Spearman分析法对血流动力学指标与皮瓣坏死程度关系进行分析，统计分析所有受试者的血流动力学指标。结果：修复组患者各时点BFV、BPR水平明显低于健康组，差异有统计学意义（P＜0.05）；在各时点BFV、BPR水平方面：重度组＜中度组＜轻度组，差异有统计学意义（P＜0.05）；Spearman分析法结果显示，BFV、BPR水平与皮瓣坏死程度呈负相关（r1=-0.512；P1＜0.05；r2=-0.671；P2＜0.05）。结论：BFV、BPR与皮瓣的存活具有密切联系，可作为预测带血管蒂修复术治疗创伤后软组织缺损患者术后皮瓣坏死的重要预测指标。
목적：탐토혈류동역학지표대창상후연조직결손대혈관체수복술후피판배사적예측개치。방법：선취2010년2월지2014년3월기간아원학진병통과대혈관체수복술치료후피판배사적창상후연조직결손환자50례작위수복조，의거피판배사정도분위중도조、중도조、경도조，선취동기체검중심건강인원10례작위건강조，대소유수시자균진행불동시점적혈류속도（BFV）、혈류관주량상대치（BPR）검측，채용Spearman분석법대혈류동역학지표여피판배사정도관계진행분석，통계분석소유수시자적혈류동역학지표。결과：수복조환자각시점BFV、BPR수평명현저우건강조，차이유통계학의의（P＜0.05）；재각시점BFV、BPR수평방면：중도조＜중도조＜경도조，차이유통계학의의（P＜0.05）；Spearman분석법결과현시，BFV、BPR수평여피판배사정도정부상관（r1=-0.512；P1＜0.05；r2=-0.671；P2＜0.05）。결론：BFV、BPR여피판적존활구유밀절련계，가작위예측대혈관체수복술치료창상후연조직결손환자술후피판배사적중요예측지표。
Objective: To discuss the predictive value of hemodynamic index of trauma with vascular pedicle to repair soft tissue defect after surgery with skin flap necrosis.Methods:50 patients with skin flap necrosis were selected in our hospitals as repair group, according to the degree of skin flap necrosis,all patients were divided into heavy group, medium group, mild group, at the same time 10 cases of the healthy physical examination center person were selected as healthy group, all the subjects were tested different point of blood flow velocity (BFV), blood perfusion relative (BPR), Spearman analysis on the relationship between hemodynamic and the degree of the skin flap necrosis,analysed the hemodynamic parameters of all subjects.Results:Repair group each point BFV, BPR was significantly lower than the healthy group (P<0.05);In every point BFV and BPR:heavy group< medium group< mild group(P<0.05);Spearman analysis results show that, the BFV, BPR negatively correlated with degree of skin flap necrosis (r1=0.512;P1<0.05;r2=0.671;P2<0.05). Conclusion:BFV,BPR is a close connection with the survival of the flaps,and can be used as a prediction with vascular pedicle prosthesis after treatment of traumatic soft tissue defect of skin flap necrosis after important predictors.