皮岛在游离腓骨瓣早期血供监测中的作用

Effects of skin paddle in early blood supply monitoring of free fibula flap

目的探讨游离腓骨瓣皮岛的血供监测作用的意义。方法对2004年5月—2007年12月所完成的12例游离腓骨瓣作回顾性分析,分析腓骨瓣所携带的皮岛对早期腓骨瓣血供监测所起的作用及皮岛的成活情况。结果12例游离腓骨瓣中,1例皮岛于术后24h内发生颜色等观察指标改变,提示血管危象,经紧急处理后腓骨瓣及皮岛成活。其余11例腓骨瓣及皮岛均成活。结论皮岛为及时发现移植腓骨的血管危象提供了保障,术中应常规制备。

Objective To analyse the significance of blood supply monitoring of skin paddles of free fibula flap. Methods Twelve consecutive free fibula flap transfers performed from May of 2004 to December of 2007 were reviewed. The skin paddles of each flap were analyzed in terms of the effect of early blood supply monitoring, and clinical survival. Results In 12 cases, there was one skin paddle whose colour change showed accurately the crisis occurred in the circulation of the grafted fibula, the skin paddle and free fibula flap were safe after timely treatment. Other 11 free fibula flap and skin paddies all survived. Conclusion The skin paddle provided the safeguard and by this safeguard the circulation crisis of the grafted fibula could be discovered in time, and should be generally prepared in operation.