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- Title
吲哚菁绿血管造影在评估皮瓣末梢血运中的应用研究.
- Authors
薛乐; 刘宾; 韩悦; 郭小伟; 苏学峰; 马戈甲
- Abstract
Objective To explore the feasibility of applying indocyanine green angiography (ICGA) before and during the operation to evaluate the blood supply of the flap and adjust the surgical plan in flap repair surgery to increase the survival rate of flap transplantation and reduce complications after flap surgery. Methods From March 2019 to March 2021, the clinical data of 78 patients admitted to the Department of Burn Plastic and Cosmetic Surgery of Xi'an Central Hospital Affiliated to Xi'an Jiaotong University were randomly selected and divided into control group of 40 cases and experimental group of 38 cases according to the order of admission. The control group underwent traditional flap transplantation, and the experimental group underwent ICGA before and during the operation to evaluate the blood supply of the flap and adjust the surgical plan based on the results of the angiography. Results All 38 patients in the experimental group had no angiography-related complications after ICGA. Among them, 3 cases adjusted the operation plan according to the ICGA results and ended the operation smoothly, the remaining 35 cases ended the operation smoothly according to the preoperative design. In the control group, all flap operations were performed by traditional surgical methods. Among them, 8 cases of flap tips had blood flow disorders during the operation, and the operations were terminated after corresponding treatments, the remaining 32 cases were successfully completed according to the preoperative design. All patients were followed up for 6 months. There was no statistically significant difference between the observation group and the control group in the incidence of postoperative flap blood supply abnormalities (X² =0.212,P=0.645) and flap related complications (X² =0.749,P=0.387). Conclusion ICGA before operation can play an auxiliary role in the design of random skin flap, the application of ICGA angiography in flap surgery can evaluate the blood perfusion of the flap in real time, which is helpful to adjust the flap operation plan
- Subjects
PLASTIC surgery; FLUORESCENCE angiography; INDOCYANINE green; BLOOD flow; EXPERIMENTAL groups; FREE flaps; SURGICAL flaps
- Publication
Chinese Journal of Aesthetic & Plastic Surgery, 2023, Vol 34, Issue 3, p140
- ISSN
1673-7040
- Publication type
Article
- DOI
10.3969/j.issn.1673-7040.2023.03.004