彩色多普勒超声对腓动脉穿支皮瓣血管的研究
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Detection on distribution and flowing dynamics of the cutaneous perforators of peroneal artery by color Doppler flow imaging
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    摘要:

    目的:应用高分辨率的彩色多普勒超声检测技术对腓动脉穿支的分布规律及血流动力学参数进行研究,为皮瓣的设计提供可靠依据-方法:应用高分辨率彩色多普勒超声对25例健康志愿者44侧腓动脉穿支血管的数目-起始内径-走形-穿深筋膜位置-血流动力学参数进行检测,并分组进行统计学分析-结果:双侧腓动脉共44支,检出穿动脉总数161支,每侧2~6支不等,平均3.6支-穿支穿深筋膜位置大多(81.3%)在腓骨小头最凸点下方9~23 cm-将腓骨小头最突出点与外踝最突出点的距离等分为3段,深筋膜穿出点位于上段者共36支,占总数22.3%,中段者共104支,占总数64.6%,下段者共21支,占总数13.1%-穿支动脉起始处内径平均为0.95±0.23 mm,收缩期峰值流速(PSV)平均为0.17±0.08 m/s-最粗大穿支动脉血流峰值流速(PSV)左右侧组间差异无统计学意义(P > 0.05),男性稍高于女性(P < 0.05)-结论:彩色多普勒超声可直观地显示腓动脉穿支的走行分布-评价血管质量,并能在体表准确定位,可以为皮瓣的设计提供可靠的依据-

    Abstract:

    Objective:To study the distribution and flowing dynamics of perforator vessel of peroneal artery detected by color Doppler imaging in order to provide reasonable evidence for the design of location and protocol of skin flap. Methods:44 perforator vessels of peroneal artery from 25 healty volunteers were examed. The number of perforator vessel vascular initial diameter,distribution,and flowing dynamics were measured. Results:In 44 samples studied,161 cutaneous branches were found. Two to six branches were found on one specimen,and the average number of cutaneous perforators was 3.6.The perforating points of cutaneous branches mostly (81.3% case) appeared within 9~23 cm below the protruding point of head of fibula 36(22.3%),104(64.4%)and 21(13.1%)of the perforating points appeared in the upper,middle and lower part of the lower log respectively. The average initial internal diameter of cutaneous was 0.95±0.23 mm,and vascular flow peak systolic velocity was 0.17±0.08 m/s. There were no significant differences in the peak systolic velocity between left and right dominant cutaneous perforators. Male’s peak systolic velocity was higher than that of female (P < 0.05). Conclusion:The color Doppler ultrasonography with high resolution could show the distribution and location of perforators of peroneal artery clearly,and assess the quality of the blood flow and consequantly provide scientific basis for planning skin flap.

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高〓慧,胡建群,章宏伟,蔡晓峰,栗翠英.彩色多普勒超声对腓动脉穿支皮瓣血管的研究[J].南京医科大学学报(自然科学版),2010,(4):484-487542

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  • 收稿日期:2009-11-16
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