术中腓肠内侧动脉、股前外侧及前臂桡侧皮瓣间皮瓣厚度的研究。

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-13 eCollection Date: 2025-06-01 DOI:10.1097/GOX.0000000000006853

Ansarul Haq, Veena K Singh, Shreosi Sarkar

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引用次数: 0

摘要

背景：腓肠内侧动脉穿支（MSAP）皮瓣由于其优于股前外侧（ALT）和前臂桡动脉（RAF）皮瓣的各种优点，近年来越来越受欢迎。然而，缺乏文献比较超声和术中测量皮瓣的厚度。本研究旨在比较这些皮瓣的厚度，并确定皮瓣厚度的预测因素，这将有助于重建规划。方法：120例患者采用ALT、MSAP、RAF 3种皮瓣进行皮瓣重建手术。通过超声和术中皮瓣测量测量皮瓣的厚度。采用正向逐步回归方法确定影响皮瓣厚度的因素。结果：患者平均年龄38.4±12.2岁，平均体重指数23.5±3.3 kg/m2。MSAP的平均厚度为8.3±1.4 mm， ALT为17.6±2.9 mm， RAF为5.4±1.3 mm。3个皮瓣厚度差异均有统计学意义（P < 0.05）。ALT皮瓣与女性性别、体重指数呈正相关。超声测量皮瓣厚度与术中测量差异无统计学意义。（p < 0.05）。结论：MSAP皮瓣在满足皮瓣尺寸和蒂长的条件下，几乎可以在所有区域替代RAF或ALT皮瓣。超声测量皮瓣厚度是术中皮瓣厚度的良好预测指标。

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An Intraoperative Study of Flap Thickness Between Medial Sural Artery, Anterolateral Thigh, and Radial Forearm Flaps.

Background: The medial sural artery perforator (MSAP) flap has gained popularity in recent times because of its various advantages over the anterolateral thigh (ALT) and radial artery forearm (RAF) flaps. However, there is a lack of literature comparing the thickness of these flaps between sonographic and intraoperative measurements. This study aimed to compare the thickness of these flaps and to identify the predictors of flap thickness that will help in reconstructive planning.

Methods: A total of 120 patients underwent reconstructive flap surgery using the 3 flaps (ALT, MSAP, and RAF). The thickness of these flaps was measured by ultrasonography and intraoperative flap measurements. Forward stepwise regressions were conducted to determine the factors contributing to flap thickness.

Results: The mean age of the patients was 38.4 ± 12.2 years, and the mean body mass index was 23.5 ± 3.3 kg/m². The mean thickness of the MSAP was 8.3 ± 1.4 mm, whereas it was 17.6 ± 2.9 mm for the ALT and 5.4 ± 1.3 mm for the RAF. All 3 flaps showed significant differences in thickness (P < 0.05). The ALT flap had a positive correlation with female gender and body mass index. No significance was found between the measurement of flap thickness by sonography and intraoperative measurement. (P > 0.05).

Conclusions: The MSAP flap can be used as a replacement for the RAF or ALT flap in almost all areas if the flap dimensions and pedicle length are fulfilled. Sonographic measurements of flap thickness are a good predictive marker of intraoperative flap thickness.

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.