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预测 DIEP 皮瓣重建的结果:皮瓣存活率指数。

Predicting results of DIEP flap reconstruction: the flap viability index.

机构信息

Australian School of Advanced Medicine, Plastic & Reconstructive Surgery, Innovation Road, Macquarie University, North Ryde, Sydney, NSW 2113, Australia.

出版信息

J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1490-5. doi: 10.1016/j.bjps.2012.05.015. Epub 2012 Jun 14.

DOI:10.1016/j.bjps.2012.05.015
PMID:22704607
Abstract

Worldwide experience with the DIEP flap has established its pre-eminent role in breast reconstruction after mastectomy. CT angiographic vascular imaging has enhanced the planning of reconstruction, allowing mapping of perforator patterns to increase the predictability of surgery. This study extends the role of perforator mapping, using measurement of perforator lumen diameters and flap weights to calculate an index that reliably predicts the amount of tissue which will survive. We call this the Flap Viability Index.

摘要

全球范围内使用 DIEP 皮瓣进行乳房重建的经验已经确立了其在乳房切除术后重建中的卓越地位。CT 血管造影血管成像增强了重建的规划,允许对穿支模式进行映射,以提高手术的可预测性。本研究扩展了穿支映射的作用,通过测量穿支管腔直径和皮瓣重量来计算一个指数,该指数可以可靠地预测组织的存活量。我们称之为皮瓣存活率指数。

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Predicting results of DIEP flap reconstruction: the flap viability index.预测 DIEP 皮瓣重建的结果:皮瓣存活率指数。
J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1490-5. doi: 10.1016/j.bjps.2012.05.015. Epub 2012 Jun 14.
2
[Significance of abdominal wall CT-angiography in planning DIEA perforator flaps, TRAM flaps and SIEA flaps].[腹壁CT血管造影在规划腹壁下深动脉穿支皮瓣、横行腹直肌肌皮瓣和腹壁下浅动脉皮瓣中的意义]
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Preoperative computed tomography angiogram to predict patients with favorable anatomy for superficial inferior epigastric artery flap breast reconstruction.术前行计算机断层血管造影以预测适合采用腹壁下浅动脉皮瓣进行乳房重建的解剖结构良好的患者。
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Importance of lateral row perforator vessels in deep inferior epigastric perforator flap harvesting.腹壁下动脉穿支皮瓣切取中外侧排穿支血管的重要性
Plast Reconstr Surg. 2004 Feb;113(2):517-24. doi: 10.1097/01.PRS.0000100812.37842.A8.
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Computed Tomography Angiography for Preoperative Thoracoabdominal Flap Planning.术前胸腹部皮瓣规划的计算机断层扫描血管造影术
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The value of dynamic infrared thermography (DIRT) in perforatorselection and planning of free DIEP flaps.动态红外热成像(DIRT)在游离腹壁下动脉穿支皮瓣穿支选择及手术规划中的价值
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Two new techniques for correcting venous congestion in the free DIEP flap for breast reconstruction: an analysis of venous augmentation in 581 DIEP flaps.两种用于纠正游离腹壁下动脉穿支皮瓣乳房重建中静脉淤血的新技术:对581例腹壁下动脉穿支皮瓣静脉增容的分析
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引用本文的文献

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The Circulasome: A Unifying Theory of Flap Vascularity.循环体:皮瓣血管化的统一理论
Plast Reconstr Surg Glob Open. 2024 Jul 30;12(7):e6009. doi: 10.1097/GOX.0000000000006009. eCollection 2024 Jul.
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Analysis of Major and Minor Pedicles in Flap Perfusion by Computational Fluid Dynamics.通过计算流体动力学分析皮瓣灌注中的主要和次要蒂部
Plast Reconstr Surg Glob Open. 2024 Apr 10;12(4):e5711. doi: 10.1097/GOX.0000000000005711. eCollection 2024 Apr.
3
Improving the Safety of DIEP Flap Transplantation: Detailed Perforator Anatomy Study Using Preoperative CTA.
提高腹壁下动脉穿支皮瓣移植的安全性:使用术前CTA进行详细的穿支解剖学研究
J Pers Med. 2022 Apr 28;12(5):701. doi: 10.3390/jpm12050701.
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Tips on Raising Reliable Local Perforator Flaps.提升可靠的局部穿支皮瓣的技巧。
Plast Reconstr Surg Glob Open. 2021 Jul 28;9(7):e3673. doi: 10.1097/GOX.0000000000003673. eCollection 2021 Jul.
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Increasing Perfusion Pressure Does Not Distend Perforators or Anastomoses but Reveals Arteriovenous Shuntings.增加灌注压并不会使穿支血管或吻合支扩张,反而会揭示动静脉分流情况。
Plast Reconstr Surg Glob Open. 2020 Jun 24;8(6):e2857. doi: 10.1097/GOX.0000000000002857. eCollection 2020 Jun.
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Quantifying Blood Flow in the DIEP Flap: An Ultrasonographic Study.腹壁下动脉穿支皮瓣血流定量:一项超声研究
Plast Reconstr Surg Glob Open. 2014 Nov 7;2(10):e228. doi: 10.1097/GOX.0000000000000191. eCollection 2014 Oct.