三維超聲技術(shù)在老年患者股前外側(cè)穿支皮瓣移植術(shù)前穿支動(dòng)脈評(píng)估中的應(yīng)用

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Application of three-dimensional ultrasound in the evaluation of perforator artery before anterolateral femoral perforator flap transplantation in elderly patients

Hu Yuxuan，Yao Lingfeng， Jiang Yan，Xin Tianyou， Zhang Yuxuan WuxiNo.9People'sHospital Affiliated to Soochow University，Wuxi214000 **Corresponding author： Zhang Yuxuan，email： journal123g@163.com

[Abstract]ObjectiveTo explore theapplicationof thre-dimensionalultrasoundintheevaluationof perforatorartery beforeanterolateralmoralperforatorflaptransplantatininelderlypatints.MethodsFromOOto02，Optientsitanterate alfemoralperforatorflaptransplantationatWuxiNo.9People'sHospitalAfiliatedtoSoochowUniversitywererandomlydividednto twogroups：ultrasoundgroupandtheCTAgroupeachhad3Ocases.Theimagequality，thediameterof theperforatorarterymeasured beforeoperationandtheactualdiameterduringoperation，theincidenceofcomplicationsandtheconditionofoperationwereompared betwenthetwogroups.ResultsTheimagequalityoftheultrasoundgroup wassignificantlybeterthanthatoftheCTAgroup（ P< （204號(hào) 0.05）.There was no significant difference in the diameter of the perforating artery between the two groups（ P>0.05 ）.The incidence of complications in the ultrasound group was significantly lower than that in the CTA group（ P<0.05 ）．There was no significant difference in the location and incidence of donor area between the two groups（ P>0.05 ）.The survival rate of skin flap in the ultrasound group was higher than that in the CTA group（ P<0.05 ），and the reoperation rate in the ultrasound group waslower than that in the CTA group （ P<0.05 ）.Conclusion Three-dimensional ultrasound has more acurate measurement value and higher image qualityntheevauationofperforatorterybeforeanterolateralfmralpfoatorfaptransplatation，soitisortyofcalaplcation.

[Key words] Three-dimensional ultrasound；Perforator artery；Anterolateral femoral perforator flap

股前外側(cè)穿支皮瓣移植術(shù)是一種復(fù)雜的顯微外科手術(shù)，主要用于修復(fù)全身多處復(fù)雜創(chuàng)面，這種手術(shù)方法的優(yōu)點(diǎn)在于穿支皮瓣血供可靠、解剖變異少，并且可以根據(jù)需要設(shè)計(jì)成多種皮瓣[]。（剩余9888字）