• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

热成像技术助力黏液纤维肉瘤切除重建中关键穿支岛状皮瓣的设计：病例报告

Thermal Imaging Facilitates Design of a Keystone Perforator Island Flap for a Myxofibrosarcoma Resection Reconstruction: Case Report.

作者信息

Patel Shimul S, Homsy Christopher, Atamian Elisa K, Chaffin Abigail E

机构信息

Division of Plastic Surgery, Tulane University Medical Center, New Orleans, La.

Tulane University School of Medicine, New Orleans, La.

出版信息

Plast Reconstr Surg Glob Open. 2019 Aug 8;7(8):e2359. doi: 10.1097/GOX.0000000000002359. eCollection 2019 Aug.

DOI:10.1097/GOX.0000000000002359
PMID:31592380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6756649/
Abstract

Lower extremity defects are challenging to reconstruct. The keystone perforator island flap proves useful in difficult cases. Traditionally, a handheld Doppler is used to confirm perforator vessel(s) within the flap but has disadvantages including low sensitivity/specificity. Surgeons can use thermal imaging to localize "hot spots" on the skin, corresponding to perforators. FLIR ONE (FLIR Systems Inc., Wilsonville, OR) is a portable thermal camera with high concordance with computed tomographic angiography. In this case, when faced with handheld Doppler failure, we used intraoperative thermal imaging to continue planning and raising of a complex lower extremity keystone perforator island flap.

摘要

下肢缺损的重建具有挑战性。关键穿支岛状皮瓣在困难病例中证明是有用的。传统上，使用手持式多普勒仪来确认皮瓣内的穿支血管，但存在包括灵敏度/特异性低等缺点。外科医生可以使用热成像来定位皮肤上与穿支相对应的“热点”。FLIR ONE（FLIR Systems Inc.，威尔逊维尔，俄勒冈州）是一种与计算机断层血管造影高度一致的便携式热成像相机。在本病例中，当手持式多普勒仪无法使用时，我们使用术中热成像继续计划并掀起一个复杂的下肢关键穿支岛状皮瓣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/403deb1cefd1/gox-7-e2359-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/eadb5c370a3b/gox-7-e2359-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/0f6a606f33f2/gox-7-e2359-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/9db3e948ab62/gox-7-e2359-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/403deb1cefd1/gox-7-e2359-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/eadb5c370a3b/gox-7-e2359-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/0f6a606f33f2/gox-7-e2359-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/9db3e948ab62/gox-7-e2359-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5647/6756649/403deb1cefd1/gox-7-e2359-g004.jpg

相似文献

1
Thermal Imaging Facilitates Design of a Keystone Perforator Island Flap for a Myxofibrosarcoma Resection Reconstruction: Case Report.热成像技术助力黏液纤维肉瘤切除重建中关键穿支岛状皮瓣的设计：病例报告
Plast Reconstr Surg Glob Open. 2019 Aug 8;7(8):e2359. doi: 10.1097/GOX.0000000000002359. eCollection 2019 Aug.
2
Experimental investigation of tension-reducing effectiveness of keystone perforator island flap.梯形穿支岛状皮瓣减张效果的实验研究
Med Pharm Rep. 2024 Apr;97(2):196-204. doi: 10.15386/mpr-2679. Epub 2024 Apr 25.
3
Detection of Perforators for Free Flap Planning Using Smartphone Thermal Imaging: A Concordance Study with Computed Tomographic Angiography in 120 Perforators.使用智能手机热成像技术探测游离皮瓣穿支血管：与 120 个穿支血管的计算机断层血管造影术的一致性研究。
Plast Reconstr Surg. 2018 Mar;141(3):787-792. doi: 10.1097/PRS.0000000000004126.
4
A systematic review of the keystone design perforator island flap in lower extremity defects.对用于下肢缺损的关键设计穿支岛状皮瓣的系统评价。
Medicine (Baltimore). 2017 May;96(21):e6842. doi: 10.1097/MD.0000000000006842.
5
Smartphone Dynamic Infrared Thermography for Harvesting AICAP Flap in a Large Breast-conservative Surgery.用于大型保乳手术中采集腹壁下动脉穿支皮瓣的智能手机动态红外热成像技术
Plast Reconstr Surg Glob Open. 2023 Apr 27;11(4):e4951. doi: 10.1097/GOX.0000000000004951. eCollection 2023 Apr.
6
Lower extremity reconstruction: utility of smartphone thermal imaging camera in planning perforator based pedicled flaps.下肢重建：智能手机热成像相机在基于穿支蒂皮瓣手术规划中的应用
J Ayub Med Coll Abbottabad. 2020 Oct-Dec;32(Suppl 1)(4):S612-S617.
7
The use of smartphone thermography to more safely unmask and preserve circulation to keystone advancement flaps in the lower extremity.智能手机热成像在下肢关键推进皮瓣中更安全地揭示和保护循环的应用。
Injury. 2020 Dec;51 Suppl 4:S121-S125. doi: 10.1016/j.injury.2020.05.029. Epub 2020 May 23.
8
Value of the combination of a smartphone-compatible infrared camera and a hand-held doppler ultrasound in preoperative localization of perforators in flaps.智能手机兼容红外摄像头与手持式多普勒超声联合应用在皮瓣穿支术前定位中的价值
Heliyon. 2023 Jun 16;9(6):e17372. doi: 10.1016/j.heliyon.2023.e17372. eCollection 2023 Jun.
9
Impact of perforator mapping using multidetector-row computed tomographic angiography on free thoracodorsal artery perforator flap transfer.使用多排螺旋计算机断层血管造影术进行穿支定位对游离胸背动脉穿支皮瓣移植的影响。
Plast Reconstr Surg. 2008 Oct;122(4):1079-1088. doi: 10.1097/PRS.0b013e31818458b3.
10
A prospective study of preoperative computed tomographic angiography for head and neck reconstruction with anterolateral thigh flaps.前瞻性研究术前计算机断层血管造影对头颈部重建用股前外侧皮瓣。
Plast Reconstr Surg. 2011 Apr;127(4):1505-1514. doi: 10.1097/PRS.0b013e318208d23e.

引用本文的文献

1
Smartphone Thermal Imaging as an Adjunct to Identify Free Flap Perforators and Assisting Flap Design: A Pilot Study.智能手机热成像作为识别游离皮瓣穿支血管及辅助皮瓣设计的辅助手段：一项初步研究。
Laryngoscope Investig Otolaryngol. 2025 Jan 21;10(1):e70081. doi: 10.1002/lio2.70081. eCollection 2025 Feb.
2
Smartphone-based thermography in flap surgery: A systematic review and meta-analysis of perforator identification.基于智能手机的皮瓣手术热成像技术：穿支血管识别的系统评价与荟萃分析
Heliyon. 2024 Feb 22;10(6):e26806. doi: 10.1016/j.heliyon.2024.e26806. eCollection 2024 Mar 30.
3
Keystone Flap for Closure of Skin Cancer Defects on the Upper Extremity.

本文引用的文献

1
Detection of Perforators for Free Flap Planning Using Smartphone Thermal Imaging: A Concordance Study with Computed Tomographic Angiography in 120 Perforators.使用智能手机热成像技术探测游离皮瓣穿支血管：与 120 个穿支血管的计算机断层血管造影术的一致性研究。
Plast Reconstr Surg. 2018 Mar;141(3):787-792. doi: 10.1097/PRS.0000000000004126.
2
A Comprehensive Approach to Lower Extremity Free-tissue Transfer.下肢游离组织移植的综合方法。
Plast Reconstr Surg Glob Open. 2017 Feb 9;5(2):e1228. doi: 10.1097/GOX.0000000000001228. eCollection 2017 Feb.
3
Reply: Detection of Perforators Using Smartphone Thermal Imaging.
用于闭合上肢皮肤癌缺损的梯形皮瓣
Plast Surg (Oakv). 2024 Feb;32(1):47-53. doi: 10.1177/22925503221094106. Epub 2022 Apr 21.
4
High-end versus Low-end Thermal Imaging for Detection of Arterial Perforators.高端与低端热成像技术用于检测动脉穿支
Plast Reconstr Surg Glob Open. 2020 Apr 11;8(10):e3175. doi: 10.1097/GOX.0000000000003175. eCollection 2020 Oct.
Plast Reconstr Surg. 2016 Aug;138(2):381e-382e. doi: 10.1097/PRS.0000000000002360.
4
Free versus perforator-pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta-analysis.游离皮瓣与穿支蒂螺旋桨皮瓣用于下肢重建：哪种覆盖方式最安全？一项荟萃分析。
Microsurgery. 2018 Jan;38(1):109-119. doi: 10.1002/micr.30047. Epub 2016 Mar 28.
5
Flap decisions and options in soft tissue coverage of the lower limb.下肢软组织覆盖中的皮瓣决策与选择
Open Orthop J. 2014 Oct 31;8:423-32. doi: 10.2174/1874325001408010423. eCollection 2014.
6
CT angiographic evaluation of perforators in the lower limb and their reconstructive implication.下肢穿支血管的CT血管造影评估及其重建意义。
Indian J Plast Surg. 2012 Sep;45(3):494-7. doi: 10.4103/0970-0358.105959.
7
Dynamic infrared thermography.动态红外热成像
Clin Plast Surg. 2011 Apr;38(2):277-92. doi: 10.1016/j.cps.2011.03.013.
8
Evolution of the fasciocutaneous island flap leading to the keystone flap principle in lower limb reconstruction.筋膜皮岛状皮瓣的演变促成了下肢重建中的关键皮瓣原则。
ANZ J Surg. 2008 Mar;78(3):116-7. doi: 10.1111/j.1445-2197.2007.04382.x.
9
Reliability of handheld Doppler in planning local perforator-based flaps for extremities.手持多普勒在规划基于局部穿支皮瓣的肢体皮瓣中的可靠性。
Aesthetic Plast Surg. 2007 Sep-Oct;31(5):521-5. doi: 10.1007/s00266-007-0072-9. Epub 2007 Jul 20.
10
Efficacy of the handheld Doppler in preoperative identification of the cutaneous perforators in the anterolateral thigh flap.手持多普勒超声在术前识别股前外侧皮瓣皮穿支中的效能
Plast Reconstr Surg. 2006 Sep 15;118(4):928-933. doi: 10.1097/01.prs.0000232216.34854.63.