目的探讨乳房重建术中判断组织血供的可视化方法。方法 2014年7月至2015年1月,在4例乳腺癌患者的乳房重建手术中,应用吲哚菁绿(ICG)荧光血管造影技术,在血液灌注可视化的情况下对皮瓣进行修整。结果ICG造影结果与组织血供的临床判断一致,3例患者未出现皮瓣血运障碍,1例患者出现皮瓣部分血运障碍。结论 ICG血管造影可应用于各种类型的乳房切除术后乳房重建,有助于降低皮瓣坏死的发生率和严重性。

Objective To explore a visualization method to assess the tissue perfusion during breast reconstruction. Methods From July 2014 to January 2015, 4 patients with breast cancer received breast reconstruction after mastectomy by using intraoperative ICG angiography in order to determine the width and height of flap for flap shaping. Results The results determined by ICG angiography was correlated well with clinical findings. Among 4 cases, 3 cases had good perfusion, 1 case developed partial blood circulation disorder. Conclusion The use of ICG angiography during postmastectomy breast reconstruction may decrease the incidence and severity of flap necrosis, and is a reliable tool for breast reconstruction.