过去十年中游离皮瓣监测技术的进展：批判性回顾。
Advancements in free flap monitoring in the last decade: a critical review.
机构信息
Groningen, The Netherlands; and Uppsala, Sweden From the Department of Plastic Surgery and the Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen; and Department of Plastic and Reconstructive Surgery, Uppsala University Hospital.
出版信息
Plast Reconstr Surg. 2010 Jan;125(1):177-185. doi: 10.1097/PRS.0b013e3181c49580.
BACKGROUND
The authors conducted a review of the recent literature on the monitoring of free flaps to create an overview of the current monitoring devices and their potential as an ideal monitoring method.
METHODS
A literature-based study was conducted using the PubMed and Cochrane databases. The following search terms were used: "flap" and "monitoring." All monitoring methods found between January of 1999 and January of 2009 were evaluated. Monitoring methods that were described in five or more clinical reports were further investigated.
RESULTS
The advantages and disadvantages of conventional monitoring methods, the implantable Doppler system, color duplex sonography, near-infrared spectroscopy, microdialysis, and laser Doppler flowmetry are presented. Furthermore, an overview is given of their potential as ideal monitoring method.
CONCLUSIONS
The implantable Doppler system, near-infrared spectroscopy, and laser Doppler flowmetry appear to be the best monitoring devices currently available. As most of the publications on monitoring have focused on the reliability of the systems, future research should also address their cost efficiency.
背景
作者对近期关于游离皮瓣监测的文献进行了回顾，以期对现有的监测设备及其作为理想监测方法的潜力有一个全面的了解。
方法
采用基于文献的研究方法，检索了 PubMed 和 Cochrane 数据库。使用了以下检索词：“皮瓣”和“监测”。评估了 1999 年 1 月至 2009 年 1 月期间发现的所有监测方法。对描述了 5 个或更多临床报告的监测方法进行了进一步的调查。
结果
介绍了常规监测方法、植入式多普勒系统、彩色双功能超声、近红外光谱、微透析和激光多普勒流量计的优缺点。此外，还概述了它们作为理想监测方法的潜力。
结论
植入式多普勒系统、近红外光谱和激光多普勒流量计似乎是目前可用的最佳监测设备。由于大多数关于监测的出版物都集中在系统的可靠性上，因此未来的研究还应考虑其成本效益。
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