Blank Beate, Cai Aijia
Department of Plastic and Hand Surgery, Klinikum Kulmbach, Kulmbach, Germany.
Department of Plastic and Hand Surgery and Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Innov Surg Sci. 2024 Feb 22;8(4):227-230. doi: 10.1515/iss-2023-0040. eCollection 2023 Dec.
In microsurgery, many different imaging techniques are available in both flap and lymphatic surgery that all come with their own advantages and disadvantages. In flap surgery, CT angiography is considered as the gold standard. Among others, Doppler ultrasound, color Doppler ultrasound, ICG, and smartphone-based thermal cameras are valuable imaging techniques. In lymphatic surgery, photoacoustic imaging, laser tomography, contrast-enhanced magnetic resonance imaging, and high frequency ultrasound stand available to surgeons next to the current standard of lymphoscintigraphy. It is crucial to know the advantages and disadvantages to various techniques and highly adviced to microsurgeons be capable of using a variety of them.
在显微外科手术中，皮瓣手术和淋巴手术都有许多不同的成像技术，每种技术都有其自身的优缺点。在皮瓣手术中，CT血管造影被视为金标准。此外，多普勒超声、彩色多普勒超声、吲哚菁绿（ICG）和基于智能手机的热成像相机都是有价值的成像技术。在淋巴手术中，除了目前的淋巴闪烁造影术标准外，光声成像、激光断层扫描、对比增强磁共振成像和高频超声也可供外科医生使用。了解各种技术的优缺点至关重要，强烈建议显微外科医生能够使用多种技术。
