Department of radiology, CHU, Besançon, France.
Skeletal Radiol. 2013 Mar;42(3):319-27. doi: 10.1007/s00256-012-1461-y. Epub 2012 Jun 24.
Breast reconstruction with adipocutaneous free flap from the abdominal wall combines the benefits of abdominoplasty to those of a prosthesis-free breast reconstruction. The deep inferior epigastric artery perforator (DIEP) flap is supplied by intramuscular perforators from the deep inferior epigastric artery (DIEA). It consists of the dissection of perforating branches of the DIEA within the rectus abdominis muscle, thus sparing both muscle and fascia. Preoperative imaging in the planning of DIEP flap surgery has been shown to facilitate faster and safer surgery. This review article aims to discuss advantages and drawbacks of current imaging modalities for mapping the course of perforating vessels in the planning of DIEP flap surgery, and to present state-of-the-art imaging techniques.
腹壁游离脂肪皮瓣乳房重建结合了腹成形术的优点和无假体乳房重建的优点。腹壁下动脉穿支皮瓣（DIEP 皮瓣）由腹壁下动脉（DIEA）的肌内穿支供应。它包括在腹直肌内解剖 DIEA 的穿支分支，从而保留肌肉和筋膜。DIEP 皮瓣手术规划中的术前影像学已被证明可促进更快、更安全的手术。本文旨在讨论当前用于皮瓣手术规划中穿支血管的影像学方法的优缺点，并介绍最先进的影像学技术。
