只有SCIV和只有VC的管道:哪一个是多和仿真SCIAP板的最佳选择?
Tinggang Chu1, Jinlong Huang1, Zengming Zheng2
1Department of Plastic and Reconstructive Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 14, 2024
概括
只有Venae comitantes (VCs) 的排水对于复杂的表面环阴动脉穿孔器 (SCIAP) 片,包括多和嵌合式设计,是有效的. 这种方法为这些先进的重建手术提供了优越的排水,而不是表面环阴静脉 (SCIV) -仅管道.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 血管外科 血管外科
背景情况:
- 表面环 iliac 静脉 (SCIV) 和 venae comitantes (VCs) 适用于传统的表面环 iliac 动脉穿孔器 (SCIAP) 片.
- 对于扩展的多和仿真SCIAP片的最佳静脉管道策略尚未得到充分确立.
研究的目的:
- 为了研究SCIV-only与VCs-only管道的有效性,用于多和仿真SCIAP板.
- 为了比较两个导管组之间的结果,并发症率,手术时间和愈合时间.
主要方法:
- 对195名接受多或仿真SCIAP片的患者进行了回顾性研究 (2015年8月 - 2023年7月).
- 对变异的分析 (2,3,4-paddle,皮肤-阴茎,皮肤-sartorius) 和管道利用 (仅SCIV与VCs).
- 主要结果的比较,包括并发症率,手术持续时间和伤口愈合时间.
主要成果:
- 在85.6%的案例中,仅使用VCs排水,而仅使用SCIV的情况为14.4%.
- 只有SCIV的板主要是2-paddle (89.3%).
- 只有VCs的排水显示了随着的复杂性而增加的利用率:63.2%为2,92.7%为3,100%为4和模拟.
结论:
- 只有VC的排水对于复杂的SCIAP板非常有效,包括多和嵌合式类型.
- 这种方法证明了SCIAP扩展片中表面和表面下组织的优越排水能力.
- 这些发现支持在先进的SCIAP片重建中常规使用VCs-only管道.
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