Hataya Y, Matsuo K, Ishigaki M, Imai Y, Taki K
Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Ann Plast Surg. 1999 Jan;42(1):92-5. doi: 10.1097/00000637-199901000-00016.
The authors encountered a patient with a tumor of the floor of the mouth in whom the no-reflow phenomenon occurred after excision of the lesion and the mandible, followed by reconstruction using a free fibular flap. A catheter was inserted retrogradely from the point where the peroneal artery had been ligated at the time of flap preparation. Continuous intra-arterial infusion of prostaglandin E1 and heparin was performed, and the flap survived. This method salvaged free flaps subject to the no-reflow phenomenon.
作者遇到一位口底肿瘤患者，该患者在病变及下颌骨切除后出现无再流现象，随后采用游离腓骨瓣进行重建。在制备皮瓣时，从结扎腓动脉的部位逆行插入一根导管。持续进行前列腺素E1和肝素的动脉内输注，皮瓣得以存活。这种方法挽救了出现无再流现象的游离皮瓣。
