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Utility of multi-detector row computed tomography angiography versus Doppler in localization of perforators of anterolateral thigh flaps

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Plastic and Aesthetic Research 2016年第1期3卷 52-58页

作者： Chandan N.Jadhav Surinder Singh Makkar Gautam Biswas Niranjan Khandelwal Department of Plastic Surgery Postgraduate Institute of Medical Education and ResearchChandigarh 160012India Department of Radio Diagnosis Postgraduate Institute of Medical Education and ResearchChandigarh 160012India

Aim:anterolateral thigh(ALT)flap is widely used in reconstruction of various *** imaging facilitates perforator mapping,overcoming intraoperative *** purpose of this study was to investigate the utility of multi-detector row computed tomography angiography(MDCTA)and a handheld Doppler in locating ALT ***:Twenty patients were randomized into two *** 1 patients received MDCTA and Doppler studies whereas Group 2 received only a Doppler *** number,location,course,and source of all cutaneous and sizable perforators were compared with intraoperative ***’stress levels during flap harvest and flap harvest time were ***:MDCTA findings correlated well with intraoperative findings for perforator type and segmental distribution with 100%*** alone had a 52%rate of *** sensitivity and specificity for MDCTA in demonstrating the presence of perforators were 85.71%and 97.22%,respectively;whereas for Doppler alone the sensitivity and specificity were 80%and 87.91%,*** demonstrating perforator source,MDCTA showed a sensitivity of 100%and specificity of 91.66%,with 100%*** and specificity for sizable perforators were 90%each,with 88.88%*** studies were unable to provide this *** of surgeon stress levels showed no differences between the two groups,although the time for flap harvest was significantly shorter in Group ***:MDCTA compared to Doppler is more sensitive,specific,and accurate with respect to location,course,and source of perforators.

关键词： anterolateral thigh multi-detector row computed tomography angiography perforator

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