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The value of preoperative routine donor leg angiography in free fibula flaps
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF STOMATOLOGY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:1002-0098.2002.01.005
- Key Word:
- 外科,整形;血管造影术;游离腓骨瓣
Abstract： 目的 探讨游离腓骨瓣移植术前常规下肢血管造影的必要性.方法对游离腓骨瓣移植术前行常规下肢血管造影的49例和40例未行常规血管造影的患者作回顾性研究,根据术前下肢血管的物理检查和血管造影两种方法的结果,结合游离腓骨瓣术中所见情况,分析下肢血管的变异情况,并分析两种检查方法在游离腓骨瓣移植术中的意义. 结果 49例行常规血管造影的患者中,2例因血管变异而改用其他修复方法,其余47例中,46例完成腓骨瓣移植,1例因术中发现腓静脉病变而放弃.40例未行血管造影的患者中,39例完成腓骨瓣移植,1例因术中发现腓静脉病变而放弃手术.全部患者术后均未出现下肢缺血症状. 结论游离腓骨瓣术前的常规下肢血管造影并无必要,血管造影仅适用于下肢血管临床检查有异常者、下肢有严重外伤史者和周围血管病变者.
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