Taylor G I, Doyle M, McCarten G
Victorian Plastic Surgery Unit, Preston and Northcote Community Hospital, Melbourne, Australia.
Br J Plast Surg. 1990 Jan;43(1):1-16. doi: 10.1016/0007-1226(90)90039-3.
The Doppler probe was used to identify the dominant cutaneous perforating arteries in a series of 10 patients. The results were compared with our previous total body fresh cadaver anatomical studies and a close correlation was found. The instrument was used in a series of patients to plan the base, the axis and the dimensions of skin flaps for local, distant and free transfer. A dominant perforator was located at the base of the flap, the surrounding skin was scanned to identify the next dominant perforator in each direction and the appropriate axis was chosen by drawing a line between two nominated perforators. Often the flap was based distally or its axis departed from the main course of the supplying vessel. The technique proved to be simple and reliable and in many cases flaps of unusual dimensions and directions were transferred successfully. The instrument provides a useful link between the anatomical dissecting room and the operating theatre.
在10例患者中使用多普勒探头来识别主要的皮肤穿支动脉。将结果与我们之前的全身新鲜尸体解剖研究进行比较，发现两者密切相关。该仪器用于一系列患者，以规划用于局部、远处和游离转移的皮瓣的基部、轴线和尺寸。在皮瓣基部找到一个主要穿支，扫描周围皮肤以确定每个方向上的下一个主要穿支，并通过在两个指定穿支之间画一条线来选择合适的轴线。通常皮瓣以远端为基部，或者其轴线偏离供血血管的主要走行。该技术被证明简单可靠，在许多情况下，尺寸和方向异常的皮瓣成功转移。该仪器在解剖室和手术室之间提供了一个有用的桥梁。
