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术前使用多普勒超声检查以确定基于桡动脉或尺动脉的前臂皮瓣。

Doppler ultrasonography as a pre-operative aid to base the forearm flap on the radial or ulnar artery.

作者信息

Dost P, Rudofsky G

机构信息

Department of Otorhinolaryngology, University of Essen, Germany.

出版信息

Clin Otolaryngol Allied Sci. 1993 Oct;18(5):355-8. doi: 10.1111/j.1365-2273.1993.tb00592.x.

DOI:10.1111/j.1365-2273.1993.tb00592.x
PMID:8877199
Abstract

The elevation of a forearm flap based on the ulnar artery has been described as an alternative to a flap based on the radial artery. Despite the fact that 15-30% of operated patients complain of symptoms in the hand due to impaired circulation, this flap is still regularly raised upon the radial artery. Using Doppler ultrasonographic examination before elevating the forearm flap, the dominant artery to the hand can be determined. The preliminary experience in 11 patients operated upon (the flap has been based upon the ulnar artery five times) is satisfactory. None complained of weakness of the hand, a feeling of coldness or cold intolerance.

摘要

基于尺动脉的前臂皮瓣的切取已被描述为基于桡动脉皮瓣的一种替代方法。尽管有15%至30%的手术患者因血液循环受损而抱怨手部出现症状,但这种皮瓣仍经常基于桡动脉切取。在前臂皮瓣切取前使用多普勒超声检查,可以确定手部的主要供血动脉。对11例接受手术的患者(其中皮瓣基于尺动脉切取5次)的初步经验令人满意。没有患者抱怨手部无力、发冷或不耐冷。

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