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彩色多普勒超声波与DIEP片规划的CT血管造影:一个随机对照试验

Adam Bajus¹, Libor Streit¹, Tomáš Kubek²

¹Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

|September 11, 2023

概括

彩色多普勒超声波 (CDU) 与计算机断层扫描血管造影加CDU同样有效,用于识别DIEP手术中的深下腹膜穿孔器. CDU映射可以作为穿孔器定位的独立或补充方法.

科学领域:

微手术微手术是一种微手术.
整形外科整形外科整形外科
血管外科血管外科

背景情况:

精确地定位深下腹膜穿孔器 (DIEP) 血管对于成功的DIEP片乳房重建至关重要.
彩色多普勒超声波 (CDU) 越来越多地用于穿孔器映射,但与其他方式相比,它的有效性仍在调查中.

研究的目的:

为了比较CDU与计算机断层扫描血管学 (CTA) 加CDU在定位和选择DIEP板的相关穿孔器的效率.

主要方法:

一项随机对照试验,涉及60名接受DIEP片乳房重建的患者.
患者被分配到单独CDU或CTA加CDU进行手术前穿孔器映射.
剖析穿孔器坐标的手术内测量与手术前预测进行了比较,以评估准确性 (ΔCDU或ΔCTA+CDU).

主要成果:

在CDU组 (0.6厘米) 的平均偏差明显低于CTA+CDU组 (1.0厘米) (p < 0.001).
在CDU组中,对手术前映射策略的坚持更高,尽管在统计学上并不显著 (p = 0.092).

结论:

CDU与CTA加CDU在定位和选择相关深下腹动脉 (DIEA) 穿孔方面并没有劣势.
在DIEP门程序中,CDU映射为CTA提供了可行的替代方案或辅助工具,用于DIEP门程序中的穿孔器定位.

关键词:

乳房重建乳房重建颜色多普勒超声波超声波计算机断层扫描血管学 DIEP孔穿孔器的映射 DIEP孔穿孔器的映射穿孔器的位置穿孔器的位置穿孔器的片可以穿孔.

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