Zinberg E M, Wood M B, Brown M L
Mayo Clinic, Rochester, Minnesota 55905.
J Reconstr Microsurg. 1985 Oct;2(1):13-9. doi: 10.1055/s-2007-1007041.
Postoperative assessment of the viability of vascularized bone transfer was done in 23 patients by using radionuclide imaging within the first postoperative week. Follow-up ranged from six to 45 months. The results of bone scans in the region of the vascularized bone transfer were positive in 16 patients. Of these, over 60 percent went on to uncomplicated union and a successful clinical outcome, with no frank failures. The results of scans were negative or equivocal in seven patients. Only 1 of these went on to uncomplicated healing and two cases (almost 30 percent) resulted in frank failure, necessitating removal of the transferred bone. Radionuclide imaging in the first postoperative week after vascularized bone transfer appears to be a useful monitor and prognostic indicator of the subsequent clinical course.
在术后第一周内，对23例接受带血管骨移植的患者进行了放射性核素成像检查，以评估移植骨的存活情况。随访时间为6至45个月。16例患者带血管骨移植区域的骨扫描结果呈阳性。其中，超过60%的患者顺利愈合，临床结果良好，无明显失败病例。7例患者的扫描结果为阴性或不明确。其中只有1例顺利愈合，2例（近30%）出现明显失败，需要取出移植骨。带血管骨移植术后第一周的放射性核素成像似乎是后续临床过程的有用监测手段和预后指标。
