多普勒联合皮岛监测在观察埋藏式游离皮瓣术后血供中的应用

Application of Doppler combined with flap island on mornitoring the post-operative blood supply of buried free flap

目的:探索埋藏式游离皮瓣的可行性监测手段。方法:运用联合监测手段对5例晚期需使用埋藏式游离皮瓣修复的喉咽癌患者进行监测,回顾性分析监测效果。结果:5例患者均获得一期成功,未发生血管危象;4例患者需联合监测手段予以确认皮瓣血供。结论:多普勒联合皮岛监测共同观察埋藏式游离皮瓣术后血供切实可行,是一个较好的监测手段。

To explore the feasible mornitoring techniques for the buried free flap. Method： Buried free flaps in reconstruction were mornitored using combined mornitoring techniques in five cases of advanced hypo- pharyngeal cancer The mornitoring effects were analyzed retrospectively. Result： The operations were carried out successfully and all the five patients got primary healings of incision without vascular crisis. Four patients need combined mornitoring techniques to confirm the microcirculatory results of the buried free flap. Conclusion： Appli- cation of Doppler combined with flap island was feasible on mornitoring the blood supply of post-operative buried free flap, it is a good mornitoring technique.