Pre-arterialisation of an arterialised venous flap: clinical cases.
Pre-arterialisation of an arterialised venous flap: clinical cases.
复制标题
动脉化静脉皮瓣的预动脉化：临床病例。
DOI：
10.1054/bjps.2000.3513
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
V. Chongchet
中科院分区：
文献类型：
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作者：
B. Wungcharoen;Y. Santidhananon;V. Chongchet
许多影响动脉化静脉皮瓣成活的因素已在实验和临床上得到阐明。大型动脉化静脉皮瓣的存活率已有报道，结果各不相同。大型动脉化静脉皮瓣与预先形成的动静脉瘘在供区已成功地进行了实验动物。我们报告八位病人以动脉化静脉皮瓣修复四肢皮肤缺损的结果。皮瓣切取前至少2周在供区建立动静脉分流。皮瓣大小范围为4 x 4 cm至9 x 10 cm。数字化扫描显示，皮瓣存活率在93%至100%的表面积之间。除了静脉皮瓣的已知优点外，如体积较小，保留主要动脉和易于采集，由于明显的浅静脉，预动脉化使皮瓣设计更容易。动脉化前，当用于精心挑选的情况下，没有延长患者的住院时间。
Many factors affecting the survival of arterialised venous flaps have been elucidated, both experimentally and clinically. The survival of large arterialised venous flaps has been reported, with varying results. Large arterialised venous flaps with preformed arteriovenous fistulae at the donor sites have been successfully performed in experimental animals. We report the results of repair of skin defects in the extremities with arterialised venous flaps in eight patients. The arteriovenous shunts were created at the donor sites at least 2 weeks before the flaps were harvested. The flap sizes ranged between 4 x 4cm and 9 x 10 cm. Flap survival was between 93% and 100% of the surface area, as shown by digitalised scanning. In addition to the known advantages of venous flaps, such as less bulk, preservation of the main arteries and ease of harvesting, pre-arterialisation makes designing the flap easier due to the noticeable superficial veins. Pre-arterialisation, when used in carefully selected cases, did not prolong the hospital course of the patients.