Department of Radiology, University of Washington Medical Center, Seattle, USA.
Br J Radiol. 2012 Dec;85(1020):e1293-7. doi: 10.1259/bjr/30590223.
Autologous breast reconstructive surgery with deep inferior epigastric artery (DIEA) perforator flaps has become the mainstay for breast reconstructive surgery. CT angiography and three-dimensional image post processing can depict the number, size, course and location of the DIEA perforating arteries for the pre-operative selection of the best artery to use for the tissue flap. Knowledge of the location and selection of the optimal perforating artery shortens operative times and decreases patient morbidity.
采用带蒂腹壁下动脉(DIEA)穿支皮瓣的自体乳房重建术已成为乳房重建术的主流。CT 血管造影和三维图像后处理可显示 DIEA 穿支动脉的数量、大小、走行和位置,以便在术前选择最佳的动脉用于组织瓣。了解穿支动脉的位置和最佳穿支动脉的选择可缩短手术时间,降低患者的发病率。