口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (3): 303-306.DOI: 10.13701/j.cnki.kqyxyj.2017.03.017

• 临床研究论著 • 上一篇    下一篇

CT血管造影在血管化髂骨肌瓣临床设计中的应用

兰玉燕1，孙黎波2*，张力2，周航宇2   

  1. 1. 西南医科大学口颌面修复重建和再生实验室 四川 泸州 646000;
    2. 西南医科大学附属口腔医院口腔颌面外科 四川 泸州 646000
  • 收稿日期:2016-08-29 出版日期:2017-03-20 发布日期:2017-03-22
  • 通讯作者: 孙黎波,E-mail:slb-324324@163.com
  • 作者简介:兰玉燕(1986~ ),女,四川广安人,硕士,主治医师,主要从事口腔种植外科及修复的临床研究。
  • 基金资助:
    四川省医学会科研课题计划(编号:S15038)四川西南医科大学附属口腔医院资助项目(编号:201507)成都市卫计委课题(编号:2012009)

Application of CT Angiography in the Clinical Designing of Vascularized Iliac Crest Flap.

LAN Yu-yan1,SUN Li-bo2*,ZHANG Li2,ZHOU Hang-yu2.   

  1. 1. Orofacial Reconstruction and Regeneration Laboratory, Southwest Medical University, Luzhou 646000, China;
    2. Department of Oral and Maxillofacial Surgery,Hospital of Stomatology, Southwest Medical University, Luzhou 646000, China.
  • Received:2016-08-29 Online:2017-03-20 Published:2017-03-22

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摘要： 目的:探讨CT血管造影(CT angiography,CTA)在血管化髂骨肌瓣临床设计中的应用价值。方法:选取2014年8月~2015年9月,收治的12例拟行血管化髂骨肌瓣修复手术的患者。术前行CT 血管造影,利用影像工作站(Philips Medical Systems),观察并测量旋髂深动脉(deep circumflex iliac artery,DCI)起始管径、起始点与双侧髂前上棘连线的成角以及起始点至髂前上棘的距离。依据成角的角度及距离行旋髂深动脉起始点体表定位,并模拟血管化髂骨肌瓣切取。结果:旋髂深动脉起始管径(2.8±0.61) mm,旋髂深动脉起始点与双侧髂前上棘连线的成角(55±1.7)°,旋髂深动脉起始点距髂前上棘的距离为(65.1±1.24) mm。依据重建影像可以成功模拟血管化髂骨肌瓣的切取。结论:CT 血管造影可以准确显示旋髂深动脉的解剖位置,能够指导血管化髂骨肌瓣的制备。

关键词: CT血管造影, 旋髂深动脉, 髂骨肌瓣

Abstract: Objective:To investigate the applicative value of CT angiography in the clinical designing of vascularized iliac crest flap. Methods:From August 2014 to September 2015,12 patients with mandibular defects were treated with vascularized iliac crest flap. Preoperative CTA was conducted. Imaging workstation (Philips Medical System) was used to observe and measure the diameter of deep circumflex iliac artery (DCI) at the starting point,the angle between the starting segment of DCI and the line from one anterior superior iliac spine to the other,and the length from the starting point of DCI to anterior superior iliac spine. The body surface location of the starting point of DCI was determined according to the angle and the length,and then iliac crest flap harvesting was simulated. Results:The diameter of DCI at the starting point was (2.8±0.61) mm,the angle and the length were (55±1.7) degree and (65.1±1.24) mm, respectively.Iliac crest flap harvesting was simulated successfully according to the reconstructed image. Conclusion:CTA can accurately determine the anatomical location of DCI,and it can effectively guide the designing of the iliac crest flap.

Key words: CT angiography , Deep circumflex iliac artery, Iliac crest flap