Berger A, Machens H G, Mailaender P
Department of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Germany.
Int Angiol. 1995 Sep;14(3):288-96.
Success rates for free tissue transfer (FTT) have greatly improved over the last 20 years, partly due to improved technical performance of microvascular anastomoses with better optical and instrumental aids. However, flap failure is still a clinical problem and occurs in 5-10%, mainly due to blood vessel thrombosis within the first 24 postoperative hours. Salvation rates of failing FTT can be optimized by the prompt diagnosis of irreversibly compromised tissue blood flow and immediate operative reexploration. Therefore, there is a special demand for adequate and reliable postoperative monitoring techniques. This article gives an overview of all monitoring techniques, which have been performed both in the experimental and clinical setting after FTT thus far.
在过去20年里，游离组织移植（FTT）的成功率有了显著提高，部分原因是微血管吻合技术的改进以及光学和仪器辅助设备的改善。然而，皮瓣失败仍然是一个临床问题，发生率为5%-10%，主要原因是术后24小时内血管血栓形成。通过及时诊断不可逆的组织血流受损并立即进行手术再次探查，可以优化失败的游离组织移植的挽救率。因此，对充分且可靠的术后监测技术有特殊需求。本文概述了迄今为止在游离组织移植后的实验和临床环境中所采用的所有监测技术。
