Kozarski J, Pantelić Lj, Novaković M, Pavlica M, Panajotović Lj
Vojnosanit Pregl. 1999 Sep-Oct;56(5):483-9.
Transferred free flaps by their defined vascular net improve the perfusion of the recipient region. Skin temperature depends on the skin perfusion, temperature conduction of the visceral organs, muscles and blood vessels, as well as on the heat loss by the evaporation and air convection in the environment. At the Clinic for Plastic Surgery and Burns and at the Institute of Hygiene of the Military Medical Academy, skin temperature of the transferred free flaps and the recipient region surrounding were analyzed and measured in controlled microclimate conditions. The analysis was performed in 31 subjects, 20.23 months after the free tissue transfer. The aim of the study was to determine the differences between the skin temperature of the transferred free flaps and the recipient region surrounding, as wall as of the donor's region surrounding. The results of the investigation revealed that skin temperature of the transferred free flaps was lower in 28 (90.3%) patients than the temperature of the donor's region surrounding. Skin temperature of the transferred free flaps was higher in 25 subjects (80.6%) than the temperature of the recipient region surrounding. Skin temperature of free flaps transferred to the foot and the lower leg was higher than the skin temperature of the recipient region surrounding but was also lower in the flaps transferred on the head. The temperature of the recipient region surrounding influenced the skin temperature of the transferred free flaps, besides the flap tissue perfusion.
通过其特定的血管网转移的游离皮瓣可改善受区的灌注。皮肤温度取决于皮肤灌注、内脏器官、肌肉和血管的温度传导，以及环境中蒸发和空气对流造成的热量损失。在整形外科与烧伤诊所以及军事医学科学院卫生研究所，在可控的微气候条件下对转移的游离皮瓣及其周围受区的皮肤温度进行了分析和测量。该分析在31名受试者中进行，这些受试者在游离组织转移后20.23个月。本研究的目的是确定转移的游离皮瓣与周围受区以及供区周围皮肤温度之间的差异。调查结果显示，28名（90.3%）患者转移的游离皮瓣的皮肤温度低于供区周围的温度。25名受试者（80.6%）转移的游离皮瓣的皮肤温度高于周围受区的温度。转移到足部和小腿的游离皮瓣的皮肤温度高于周围受区的皮肤温度，但转移到头部的皮瓣温度也较低。除皮瓣组织灌注外，周围受区的温度也影响转移的游离皮瓣的皮肤温度。
