文章摘要
张娟 宋保强.游离皮瓣移植术后血运监测的研究进展[J].,2014,14(18):3589-3592
游离皮瓣移植术后血运监测的研究进展
Review of the Measurement in Monitoring Blood Circulation ofTransplanted Free Flap
  
DOI:
中文关键词: 游离皮瓣移植  血管危象  监测
英文关键词: Free flap  Vascular compromise  Monitoring
基金项目:国家自然科学基金项目(30870982)
作者单位
张娟 宋保强 第四军医大学西京医院全军整形外科研究所 
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中文摘要:
      游离皮瓣移植已经成为修复重建外科常用的修复手段之一,其成功率已经超过95 %,但微循环障碍的风险仍然存在,临床 上皮瓣救助率与缺血时间呈负相关,因此游离皮瓣移植术后的血运监测至关重要。作者以“皮瓣”和“监测”为检索词在PubMed 数 据库检索出2000 年1 月到2014 年1 月期间关于游离皮瓣移植术后监测的相关文献,纳入标准为至少5 篇以上的相关报道,通 过分析相关文献概述当前主要的监测方法,从临床实用性、可靠性等方面分析其优缺点。
英文摘要:
      Transplantation of free flap has become one of the most common methods in reparative and reconstructive surgery. Although success rates of 95 percent and higher have been reported, microvascular failure has always caused partial necrosis of flap and remained the major problemof flap transplantation. Necrosis is closely related to the ischemia time, so how to monitor the blood circulation of transplanted free flap effectively is very crucial. A literature-based study was conducted using the PubMed databases. The following search terms were used:“flap”and“monitoring.”All monitoring methods found between January of 1999 and January of 2014 were evaluated. Monitoring methods that were described in five or more clinical reports were further investigated. The author conducted a review of the recent literature on the monitoring of free flaps to create an overview of the current monitoring devices and compare the advantages and disadvantages fromclinical practicability and reliability.
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