中国美容医学
中國美容醫學
중국미용의학
CHINESE JOURNAL OF AESTHETIC MEDICINE
2015年
10期
1-4
,共4页
腹部皮瓣%血流动力学%静脉增流%静脉超回流
腹部皮瓣%血流動力學%靜脈增流%靜脈超迴流
복부피판%혈류동역학%정맥증류%정맥초회류
abdominal flap%hemodynamic study%venous augmentation%venous superdrainage
目的：评价静脉增流腹壁下动脉穿支（Deep Inferior Epigastric Artery Perforator, DIEP）皮瓣的临床应用价值。方法：将2006年-2014年间的22例采用静脉增流DIEP皮瓣的临床病例与同时期的61例单蒂DIEP皮瓣的病例进行对比。比较手术时间、皮瓣并发症发生率和腹部供区并发症发生率等指标。结果：对照组平均手术时间为（6.4±0.8）h，实验组平均为（8.1±0.6）h，P＜0.05。实验组患者中未见有皮瓣坏死现象发生，对照组皮瓣局部坏死发生率为：9.8%。全皮瓣坏死率为1.6%,实验组腹部切口并发症发生率为9%，对照组为8.1%。结论：静脉增流技术可以显著改善皮瓣远端的血液供应，提高皮瓣成活率，降低皮瓣并发症的发生率且不会增加腹部切口并发症的发生率。
目的：評價靜脈增流腹壁下動脈穿支（Deep Inferior Epigastric Artery Perforator, DIEP）皮瓣的臨床應用價值。方法：將2006年-2014年間的22例採用靜脈增流DIEP皮瓣的臨床病例與同時期的61例單蒂DIEP皮瓣的病例進行對比。比較手術時間、皮瓣併髮癥髮生率和腹部供區併髮癥髮生率等指標。結果：對照組平均手術時間為（6.4±0.8）h，實驗組平均為（8.1±0.6）h，P＜0.05。實驗組患者中未見有皮瓣壞死現象髮生，對照組皮瓣跼部壞死髮生率為：9.8%。全皮瓣壞死率為1.6%,實驗組腹部切口併髮癥髮生率為9%，對照組為8.1%。結論：靜脈增流技術可以顯著改善皮瓣遠耑的血液供應，提高皮瓣成活率，降低皮瓣併髮癥的髮生率且不會增加腹部切口併髮癥的髮生率。
목적：평개정맥증류복벽하동맥천지（Deep Inferior Epigastric Artery Perforator, DIEP）피판적림상응용개치。방법：장2006년-2014년간적22례채용정맥증류DIEP피판적림상병례여동시기적61례단체DIEP피판적병례진행대비。비교수술시간、피판병발증발생솔화복부공구병발증발생솔등지표。결과：대조조평균수술시간위（6.4±0.8）h，실험조평균위（8.1±0.6）h，P＜0.05。실험조환자중미견유피판배사현상발생，대조조피판국부배사발생솔위：9.8%。전피판배사솔위1.6%,실험조복부절구병발증발생솔위9%，대조조위8.1%。결론：정맥증류기술가이현저개선피판원단적혈액공응，제고피판성활솔，강저피판병발증적발생솔차불회증가복부절구병발증적발생솔。
Objective To evaluate the efficacy of venous augmented DIEP Flap. Methods From 2006 to 2014,22 clinical cases with venous augmentation techniques were compared to the 61 cases who underwent DIEP flaps in the same period,the operation time,flap complication rate and abdominal complication rate were calculated for significance analysis. Results The operation time in the control group was(6.4±0.8)h,while in the test group it was(8.1±0.6)h.The flap complication rate were 0 in the test group,as for the control group,the complication rate for partial loss of the flap was 9.8%while the total loss rate was 1.6%.The abdominal complication rate in the test group was 9%,while in the control group,it was 8.1% .There is no significance between the two groups. Conclusions Venous augmentation technique can improve the blood supply to the distal portion of the abdominal flap,so as to elevate the viability and lower the flap complication rate without adding the risk of abdominal dehiscence.
