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腿部主导在穿孔器基础的板从下肢升起的患者的腿部主导的影响

Dicle Aksöyler¹, Yiğit Yalçin¹, Görkem Durak²

¹Department of Plastic Reconstructive and Aesthetic Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.

|October 22, 2024

概括

主导腿部的穿孔数量,直径和肌肉厚度增加,使其成为重建性手术的首选捐赠部位. 这种偏好可以提高外科手术的结果,并减少穿孔器手术中的并发症.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
人体解剖学解剖学解剖学

背景情况:

下肢是穿孔重建的主要捐赠部位.
多切片行计算断层扫描血管学 (CTA) 能够对穿孔器进行详细的3D评估.
了解穿孔器解剖学有助于优化片选择和手术成功.

研究的目的:

为了研究腿部主导地位对穿孔器捐赠器部位特征的影响.
为了提高术前穿孔器绘制精度,使用放射学评估.
为了确定腿部优势是否会影响穿孔的捐赠者位置偏好.

主要方法:

40名患者接受了CTA,以进行下肢穿孔器的多平面评估.
分析穿孔器数 (nLP),主要穿孔器直径 (DPD),相关肌肉厚度 (RMT) 和皮下组织厚度 (RSTT).
对各种穿孔片的主导和非主导脚之间的参数进行比较.

主要成果:

主导腿对中侧外侧动脉穿孔器 (MSAP),后侧门动脉穿孔器 (PTAP) 和门动脉穿孔器 (PP) 片的DPD较高.
在主导腿部的MSAP,PTAP和PP上观察到明显更大的nLP (> 0.8mm).
在大多数分析的穿孔片中,RMT在主导腿部的统计学上更高,除了深动脉穿孔片 (PAP) 之外.

结论:

主导腿对穿孔器收获具有有利特征.
在主导腿部增加的NLP,DPD和RMT表明它是首选的供体部位.
使用占主导地位的腿可能会改善手术结果并减少微手术并发症.

关键词:

电脑图像扫描血管造影 CT血管造影腿的优势腿的优势下肢的下肢是最重要的.穿孔器的片是可以穿孔的.

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