• 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

通过吲哚菁绿荧光血管造影术和红外热成像评估半腹壁下动脉穿支皮瓣的体内穿支体灌注

In Vivo Perforasome Perfusion in Hemi-DIEP Flaps Evaluated with Indocyanine-green Fluorescence Angiography and Infrared Thermography.

作者信息

Chaudhry Muiz A, Mercer James B, de Weerd Louis

机构信息

Department of Plastic and Reconstructive Surgery, University Hospital of North Norway, Tromsø, Norway.

Medical Imaging Research Group, Department of Clinical Medicine, UiT, The Arctic University of Norway, Tromsø, Norway.

出版信息

Plast Reconstr Surg Glob Open. 2021 May 21;9(5):e3560. doi: 10.1097/GOX.0000000000003560. eCollection 2021 May.

DOI:10.1097/GOX.0000000000003560
PMID:34036020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8140778/
Abstract

UNLABELLED

There are no in vivo studies that evaluate the effect of perforator dissection on the perfusion territory of a perforator (perforasome). In this study, indocyanine green fluorescence angiography (ICG-FA) and infrared thermography (IRT) were used intraoperatively to evaluate perforasome perfusion in hemi-DIEP flaps.

METHODS

Patients selected for DIEP breast reconstruction were prospectively included in the study. Preoperative perforator mapping was performed with CTA and handheld Doppler ultrasound. In general anesthesia, perforasome perfusion was evaluated with ICG-FA and IRT both before surgery and after flap dissection with preserved dominant perforators.

RESULTS

Thirty hemi-DIEP flaps were dissected in 15 patients (average BMI 26.6 kg/m), of which 40% had been operated on in the lower abdomen. Fluorescence spots from ICG were associated with infrared radiation hotspots on IRT and these corresponded with the locations of the selected perforators. IRT and ICG-FA demonstrated similar patterns in perforasome perfusion before and after perforator dissection. Perforator dissection changed the perforasome perfusion. IRT made it possible to continuously monitor the perforator activity during surgery. ICG-FA easily identified areas with impaired flap perfusion due to previous surgery.

CONCLUSIONS

Perforasome perfusion is a dynamic process that changes with perforator dissection. ICG-FA and IRT are reproducible techniques for in vivo evaluation of perforasome perfusion and produce comparable results.

摘要

未标注

尚无体内研究评估穿支血管解剖对穿支（穿支体）灌注区域的影响。在本研究中，术中使用吲哚菁绿荧光血管造影（ICG-FA）和红外热成像（IRT）来评估半腹壁下动脉穿支皮瓣的穿支体灌注情况。

方法

前瞻性纳入拟行腹壁下动脉穿支皮瓣乳房重建的患者。术前使用CTA和手持式多普勒超声进行穿支血管定位。在全身麻醉下，术前及保留优势穿支进行皮瓣解剖后，均使用ICG-FA和IRT评估穿支体灌注情况。

结果

15例患者共解剖30个半腹壁下动脉穿支皮瓣（平均BMI 26.6kg/m），其中40%在下腹部进行过手术。ICG的荧光点与IRT上的红外辐射热点相关，且与所选穿支的位置相对应。IRT和ICG-FA在穿支血管解剖前后的穿支体灌注情况上显示出相似的模式。穿支血管解剖改变了穿支体灌注。IRT使术中能够持续监测穿支血管的活性。ICG-FA能够轻松识别因既往手术导致皮瓣灌注受损的区域。

结论

穿支体灌注是一个随穿支血管解剖而变化的动态过程。ICG-FA和IRT是用于体内评估穿支体灌注的可重复技术，且结果具有可比性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/f75eb15337e8/gox-9-e3560-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/b1367cc340d5/gox-9-e3560-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/87f8a257d5da/gox-9-e3560-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/fc1143a08d73/gox-9-e3560-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/8e216e417f88/gox-9-e3560-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/1ccf933988a7/gox-9-e3560-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/db3d332eab3a/gox-9-e3560-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/a08ad9c4f887/gox-9-e3560-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/f75eb15337e8/gox-9-e3560-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/b1367cc340d5/gox-9-e3560-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/87f8a257d5da/gox-9-e3560-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/fc1143a08d73/gox-9-e3560-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/8e216e417f88/gox-9-e3560-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/1ccf933988a7/gox-9-e3560-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/db3d332eab3a/gox-9-e3560-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/a08ad9c4f887/gox-9-e3560-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/8140778/f75eb15337e8/gox-9-e3560-g008.jpg

相似文献

1
In Vivo Perforasome Perfusion in Hemi-DIEP Flaps Evaluated with Indocyanine-green Fluorescence Angiography and Infrared Thermography.通过吲哚菁绿荧光血管造影术和红外热成像评估半腹壁下动脉穿支皮瓣的体内穿支体灌注
Plast Reconstr Surg Glob Open. 2021 May 21;9(5):e3560. doi: 10.1097/GOX.0000000000003560. eCollection 2021 May.
2
Evaluation of dynamic infrared thermography as an alternative to CT angiography for perforator mapping in breast reconstruction: a clinical study.动态红外热成像术作为乳腺重建中穿支血管定位的计算机断层血管造影替代方法的评估：一项临床研究
BMC Med Imaging. 2016 Jul 15;16(1):43. doi: 10.1186/s12880-016-0144-x.
3
Dynamic Infrared Thermography (DIRT) in DIEP flap breast reconstruction: A clinical study with a standardized measurement setup.腹壁下动脉穿支皮瓣乳房重建术中的动态红外热成像（DIRT）：一项采用标准化测量设置的临床研究。
Eur J Obstet Gynecol Reprod Biol. 2020 Sep;252:166-173. doi: 10.1016/j.ejogrb.2020.05.038. Epub 2020 May 30.
4
Dynamic InfraRed Thermography (DIRT) in DIEP-flap breast reconstruction: A review of the literature.动态红外线热成像（DIRT）在 DIEP 皮瓣乳房重建中的应用：文献综述。
Eur J Obstet Gynecol Reprod Biol. 2019 Nov;242:47-55. doi: 10.1016/j.ejogrb.2019.08.008. Epub 2019 Aug 23.
5
Leaving the perfusion zones? Individualized flap design in 100 free DIEP and ms-TRAM flaps for autologous breast reconstruction using indocyanine green angiography.离开灌注区？使用吲哚菁绿血管造影的 100 例游离 DIEP 和 ms-TRAM 皮瓣用于自体乳房重建的个体化皮瓣设计。
J Plast Reconstr Aesthet Surg. 2022 Jan;75(1):52-60. doi: 10.1016/j.bjps.2021.08.002. Epub 2021 Aug 17.
6
Clinical Impact of DIEP Flap Perforator Characteristics - A Prospective Indocyanine Green Fluorescence Imaging Study.腹壁下动脉穿支皮瓣穿支特征的临床影响 - 一项前瞻性吲哚菁绿荧光成像研究。
J Plast Reconstr Aesthet Surg. 2020 Aug;73(8):1526-1533. doi: 10.1016/j.bjps.2020.01.019. Epub 2020 Jan 23.
7
Lateralising paraumbilical medial row perforators: dangers and pitfalls in DIEP FLAP planning: a systematic review of 1116 DIEP flaps.侧方脐旁中排穿支：DIEP 皮瓣设计中的危险和陷阱：1116 例 DIEP 皮瓣的系统回顾。
J Plast Reconstr Aesthet Surg. 2014 Mar;67(3):383-8. doi: 10.1016/j.bjps.2013.12.017. Epub 2013 Dec 27.
8
Rezoning Free Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flaps Based on Perforasome Groupings and a New Understanding of the Vascular Architecture of the Deep Inferior Epigastric Artery-Based Flaps.基于穿支体分组及对腹壁下动脉穿支皮瓣血管构筑新认识的游离保留肌肉的腹直肌肌皮瓣重新分区
Ann Plast Surg. 2019 Dec;83(6):e59-e67. doi: 10.1097/SAP.0000000000001859.
9
Advancing DIEP Flap Monitoring with Optical Imaging Techniques: A Narrative Review.光学成像技术在 DIEP 皮瓣监测中的应用进展：叙述性综述。
Sensors (Basel). 2024 Jul 10;24(14):4457. doi: 10.3390/s24144457.
10
Indocyanine Green Angiography for Continuously Monitoring Blood Flow Changes and Predicting Perfusion of Deep Inferior Epigastric Perforator Flap in Rats.吲哚菁绿血管造影术连续监测血流变化预测大鼠腹壁下深动脉穿支皮瓣灌注
J Invest Surg. 2021 Apr;34(4):393-400. doi: 10.1080/08941939.2019.1641253. Epub 2019 Jul 23.

引用本文的文献

1
Reduce Flap Necrosis After Autologous Breast Reconstruction: A Systematic Review.减少自体乳房重建术后皮瓣坏死：一项系统评价。
J Craniofac Surg. 2025 Sep 1;36(6):e598-e605. doi: 10.1097/SCS.0000000000011060. Epub 2024 Dec 27.
2
Advancing DIEP Flap Monitoring with Optical Imaging Techniques: A Narrative Review.光学成像技术在 DIEP 皮瓣监测中的应用进展：叙述性综述。
Sensors (Basel). 2024 Jul 10;24(14):4457. doi: 10.3390/s24144457.
3
An animal experiment study on the application of indocyanine green angiography in the harvest of multi-angiosome perforator flap.

本文引用的文献

1
The accuracy of different modalities of perforator mapping for unilateral DIEP flap breast reconstruction: A systematic review and meta-analysis.不同穿支定位方式在单侧 DIEP flap 乳房再造中的准确性：系统评价和荟萃分析。
J Plast Reconstr Aesthet Surg. 2021 May;74(5):945-956. doi: 10.1016/j.bjps.2020.12.005. Epub 2020 Dec 10.
2
DIEP flap breast reconstructions: thermographic assistance as a possibility for perforator mapping and improvement of DIEP flap quality.腹壁下动脉穿支皮瓣乳房重建术：热成像辅助用于穿支定位及提高腹壁下动脉穿支皮瓣质量的可能性
Appl Opt. 2020 Jun 10;59(17):E48-E56. doi: 10.1364/AO.388351.
3
Outcomes of DIEP Flap and Fluorescent Angiography: A Randomized Controlled Clinical Trial.
吲哚菁绿血管造影术在多血管体穿支皮瓣切取中的应用动物实验研究
Ann Transl Med. 2022 Feb;10(4):197. doi: 10.21037/atm-22-220.
腹壁下动脉穿支皮瓣（DIEP）游离移植与荧光血管造影术的结果：一项随机对照临床试验。
Plast Reconstr Surg. 2020 Jan;145(1):1-10. doi: 10.1097/PRS.0000000000006393.
4
Rezoning Free Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flaps Based on Perforasome Groupings and a New Understanding of the Vascular Architecture of the Deep Inferior Epigastric Artery-Based Flaps.基于穿支体分组及对腹壁下动脉穿支皮瓣血管构筑新认识的游离保留肌肉的腹直肌肌皮瓣重新分区
Ann Plast Surg. 2019 Dec;83(6):e59-e67. doi: 10.1097/SAP.0000000000001859.
5
Intraoperative Indocyanine Green Angiography for Fat Necrosis Reduction in the Deep Inferior Epigastric Perforator (DIEP) Flap.术中吲哚菁绿血管造影在腹壁下动脉穿支皮瓣（DIEP）脂肪坏死减少中的应用
Aesthet Surg J. 2019 Mar 14;39(4):NP45-NP54. doi: 10.1093/asj/sjy256.
6
Predicting venous congestion before DIEP breast reconstruction by identifying atypical venous connections on preoperative CTA imaging.通过术前CTA成像识别非典型静脉连接来预测腹壁下动脉穿支皮瓣乳房重建术前的静脉充血。
Microsurgery. 2019 Jan;39(1):24-31. doi: 10.1002/micr.30367. Epub 2018 Sep 5.
7
Application of Indocyanine Green in Flap Surgery: A Systematic Review.吲哚菁绿在皮瓣手术中的应用：一项系统评价。
J Reconstr Microsurg. 2018 Feb;34(2):77-86. doi: 10.1055/s-0037-1606536. Epub 2017 Oct 9.
8
Anastomosis of the Superficial Inferior Epigastric Vein to the Internal Mammary Vein to Augment Deep Inferior Artery Perforator Flaps.腹壁下浅静脉与胸廓内静脉吻合以增强腹壁下动脉穿支皮瓣
Clin Plast Surg. 2017 Apr;44(2):361-369. doi: 10.1016/j.cps.2016.12.006. Epub 2017 Feb 9.
9
Evaluation of dynamic infrared thermography as an alternative to CT angiography for perforator mapping in breast reconstruction: a clinical study.动态红外热成像术作为乳腺重建中穿支血管定位的计算机断层血管造影替代方法的评估：一项临床研究
BMC Med Imaging. 2016 Jul 15;16(1):43. doi: 10.1186/s12880-016-0144-x.
10
Perfusion of the diep flaps: A systematic review with meta-analysis.腹壁下动脉穿支皮瓣的灌注：一项系统评价与Meta分析
Microsurgery. 2018 Jan;38(1):98-108. doi: 10.1002/micr.30024. Epub 2016 Jan 16.