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对于容器耗尽的下肢,对接收器的算法选择

Alex Sorkin¹, Chad Chang², Marco Marcasciano³

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan; Department of Plastic and Reconstructive Surgery, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

|November 26, 2025

概括

这项研究开发了一种算法,用于在下肢自由重建中选择接受器,通过将血管可用性与重建技术相匹配来改善结果.

科学领域:

微手术微手术是一种微手术.
血管外科血管外科
重建性手术是一种重建性手术.

背景情况:

下肢重建在接受器血管选择方面存在挑战.
最佳的结果取决于基于缺陷特征和局部血管结构的精确血管选择.

研究的目的:

开发和验证一个算法来选择接受器在下肢自由重建.
算法考虑了缺陷的位置,大小,组成和下肢血管系统.

主要方法:

518个下肢自由重建的回顾性审查 (1983-2022年).
基于血管可用性的分类算法的开发.
将患者与适当的重建技术相匹配.

主要成果:

算法根据血管可用性创建了四个患者组.
第一个组 (419名患者):直接向合适的片进行解剖.
第二组 (25名患者):自由翻盖与长脚到中部外侧动脉.
第三组 (21名患者):使用大腿血管进行静脉循环或两个自由片.
第四组 (53名患者):在没有可用的血管的肢体缺陷中使用桥的两阶段手术.

结论:

开发的算法提供了一个系统和可重复的方法.
它有助于选择受体血管进行微手术下肢重建.

关键词:

算法算法是一种算法.免费的翻盖可以免费翻盖.下肢的重建下肢的重建接收船只的船只接收船只.血管桥梁是一种血管桥梁.

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