汎用超音波画像診断装置 (Venue 40<SUP>®</SUP>) による遊離組織移植後の血流評価

DOI
  • 荻野 晶弘
    東邦大学医療センター大森病院形成外科
  • 大西 清
    東邦大学医療センター大森病院形成外科
  • 中道 美保
    東邦大学医療センター大森病院形成外科
  • 武田 慶
    東邦大学医療センター大森病院形成外科
  • 林 明照
    東邦大学医療センター佐倉病院形成外科

書誌事項

タイトル別名
  • Evaluation of Blood Flow Using General Diagnostic Ultrasound Imaging after Free Tissue Transfer

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We evaluated the blood flow in anastomosed vessels by ultrasound imaging (Venue 40®) after free flap transplantation. We examined 20 head and neck reconstructions. There were 8 rectus abdominis musculocutaneous flaps, 5 antero-lateral thigh flaps, and 7 forearm flaps. In all cases, the blood flow in the anastomosed vessels and the flap penetrating branch was confirmed using Venue 40®, and the position was marked on the skin. On bed-side observation of the flaps after surgery, blood flow was evaluated using conventional methods (flap color tone, pin prick test, etc.) and Venue 40®. No abnormality was observed in 14 cases. As abnormality was found in 6 cases, skin flap blood flow was reevaluated by ultrasonography. The results of ultrasonography were similar with those by Venue 40® in all 6 cases with abnormalities.<BR>Several methods have been reported for evaluating blood flow after free flap transplantation, but a reliable and objective method has not been established. As Venue 40® can be repeatedly employed at the bed side by the doctor or medical staff, it may be useful for monitoring flaps.

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