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	横行腹直肌肌皮瓣乳房再造围术期皮瓣血氧状况的研究
	尹健 ; 孟扬 ; 张学慧 ; 丁海曙 ; 李岳 ; 肖春花 ; 宁连胜 ; 张天浩 ; Yin Jian ; Meng Yang ; Zhang Xue-Hui
	2010-07-15 ; 2010-07-15
会议名称	第四届中国肿瘤学术大会暨第五届海峡两岸肿瘤学术会议论文集 ; Proceedings of the 4th Chinese Conference on Oncology & 5th Cross-Strait Academic Conference on Oncology ; 第四届中国肿瘤学术大会暨第五届海峡两岸肿瘤学术会议 ; The 4th Chinese Conference on Oncology & 5th Cross-Strait Academic Conference on Oncology ; 中国天津 ; CNKI ; 中国抗癌协会、中华医学会肿瘤学分会
关键词	横行腹直肌肌皮瓣乳房再造 近红外组织血氧分析 组织血氧指数 Breast reconstruction with TRAM flap, NIRS, TOI R737.9
其他题名	Research on perioperative oxygen condition of breast reconstruction with TRAM flaps
中文摘要	目的:明确横行腹直肌肌皮瓣乳房再造(TRAM) 围术期皮瓣血氧变化规律及其在临床应用中的指导意义。方法:在围术期利用近红外血氧分析仪对TRAM乳房再造患者皮瓣各区的血氧状况进行检测,将其与临床观察结果进行对比。结果:TRAM皮瓣血氧状况存在规律性。通常,术中组织血氧指数(TOI)最低,术后4h左右,开始大幅上升,并持续8—9h的高峰,术后12-14h回落至术前水平。 16例皮瓣全部成活。其中1例II区皮肤轻微淤血,而TOI 未见异常。结论:术后14h内是TRAM皮瓣重建血运的关键阶段,应予密切观察。利用近红外血氧分析仪可以达到对 TRAM皮瓣血氧状况的快速、无创、便携、连续、实时监测,可以更真实地反映皮瓣深部的血氧状况,为准确判断皮瓣成活情况提供依据。; Objective: Assessment of perioperative tissue oxygen condition of breast reconstruction with TRAM flaps by using NIRS. Methods: With help of NIRS, we proceed long time inspection in each sites of flaps, and compare results with clinical observations. Results: Oxygen conditions of TRAM flaps changed regularly. During the operation, TOI reached the lowest point. About 4 hours postoperation, TOI began to raise and persisted acme for 8-9h, TOI went back to normal in the 12-14h. All of the flaps survived. One of the flaps had minor ecchymosis in site II, however, TOI still normal. Conclusion: We suggest TRAM flaps inspection within 14 hours should be considerable because it is time that TRAM flaps reconfigured their vessel. NIRS has advantages in fast, non-invasive, convenience, continuous,real time inspection, besides, we can get oxygen conditions in deep flaps after transplanted and judge the survival of flaps.
语种	中文 ; 中文
内容类型	会议论文
源URL	[http://hdl.handle.net/123456789/70289]
专题	清华大学
推荐引用方式 GB/T 7714	尹健,孟扬,张学慧,等. 横行腹直肌肌皮瓣乳房再造围术期皮瓣血氧状况的研究[C]. 见:第四届中国肿瘤学术大会暨第五届海峡两岸肿瘤学术会议论文集, Proceedings of the 4th Chinese Conference on Oncology & 5th Cross-Strait Academic Conference on Oncology, 第四届中国肿瘤学术大会暨第五届海峡两岸肿瘤学术会议, The 4th Chinese Conference on Oncology & 5th Cross-Strait Academic Conference on Oncology, 中国天津, CNKI, 中国抗癌协会、中华医学会肿瘤学分会.

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