Furuta S, Hataya Y, Ishigaki Y, Watanabe T
Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Br J Plast Surg. 1997 Jan;50(1):40-2. doi: 10.1016/s0007-1226(97)91281-9.
Monitoring the viability of the free radial forearm flap after pharyngo-oesophageal reconstruction poses technical problems. A method of monitoring using a small island flap elevated distal to the main forearm flap is presented. This monitor flap is easy to elevate. It is placed externally and provides information about the perfusion of the buried reconstruction flap. Postoperative management requires only assessment of tissue colour, turgor, capillary refill and bleeding, as for standard skin flap monitoring.
监测咽食管重建术后游离桡侧前臂皮瓣的存活情况存在技术难题。本文介绍一种利用在前臂主皮瓣远端掀起的小岛状皮瓣进行监测的方法。这种监测皮瓣易于掀起。它置于体外，可提供有关埋藏重建皮瓣灌注情况的信息。术后管理仅需像标准皮瓣监测那样评估组织颜色、充盈度、毛细血管再充盈情况和出血情况。
