Applicational efficacy of infrared thermal imager in monitoring postoperative blood supply of flap_West China Medical Journal

Authors：

SUN Yani , ZHENG Xianyou , HE Dan , QIAN Huijuan , LI Difei ,  HU Sanlian

Department of Orthopedics, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, P. R. China;

Corresponding?author：

HU Sanlian, Email: Liuliu9027@163.com

Keywords：

Infrared thermal imager; skin-contact thermometer; flap surgery; blood flow monitoring; vascular crisis

DOI：

10.7507/1002-0179.202207162

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the clinical application and effect of infrared thermal imager in blood flow monitoring after skin flap surgery by comparing with skin-contact thermometer. Methods Fifty patients who had undergone flap repair in the microsurgery ward of Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine between October 2019 and October 2020 were enrolled. An infrared thermal imager (FLIR ONE Pro) and a skin-contact thermometer were applied to monitor the skin temperature change till 7 d after surgery. The time consumed of using infrared thermal imager and skin-contact thermometer by different nurses, the efficacy of flap temperature monitoring of the two devices, the temperatures at different time points by using the two devices, and the temperatures under different distances to the flaps by using infrared thermal imager were compared. Results Different nurses had no difference in operating either of the two devices (P>0.05). It took significantly less time to measure the temperature of the flap area with the infrared thermal imager than using skin-contact thermometer [(39.28±3.52) vs. (103.85±9.09) s, P<0.001]. The skin temperature measured by the infrared thermal imager was significantly higher than that by the skin-contact thermometer (P<0.001), and the skin temperature measured by the infrared thermal imager at a height of 30 cm was higher than that at a height of 50 cm (P=0.006), but the temperature change amplitudes were both stable. Conclusions Infrared thermal imager is superior to skin-contact thermometer in terms of temperature measurement time, ease of operation, and sensitivity to temperature changes after skin flap operations. The thermal image collected by infrared thermal imager can provide an important basis for the identification of flap vascular crisis. It is a visual and objective blood supply monitoring equipment.

Citation： SUN Yani, ZHENG Xianyou, HE Dan, QIAN Huijuan, LI Difei, HU Sanlian. Applicational efficacy of infrared thermal imager in monitoring postoperative blood supply of flap. West China Medical Journal, 2022, 37(12): 1812-1817. doi: 10.7507/1002-0179.202207162 Copy

1.	Lohman RF, Ozturk CN, Ozturk C, et al. An analysis of current techniques used for intraoperative flap evaluation. Ann Plast Surg, 2015, 75(6): 679-685.
2.	趙彩英, 劉杰永, 喬建華, 等. 腹部帶蒂皮瓣修復手部創面的護理. 華西醫學, 2010, 25(5): 1003-1004.
3.	梁妮, 李偉霞. 紅外線熱成像在游離皮瓣移植術后皮瓣血液循環監測中的應用進展. 中西醫結合護理(中英文), 2018, 4(10): 214-217.
4.	許鑫, 宋秋燕, 王鳳巖, 等. 不同皮溫檢測方法在穿支皮瓣移植術后護理中的應用. 解放軍護理雜志, 2011, 28(9): 12-14.
5.	Salmi AM, Tukiainen E, Asko-Seljavaara S. Thermographic mapping of perforators and skin blood flow in the free transverse rectus abdominis musculocutaneous flap. Ann Plast Surg, 1995, 35(2): 159-164.
6.	李壽鵬, 續琴, 馮燕, 等. 紅外線熱成像儀評價組織壞死期血栓閉塞性脈管炎的治療效果. 血管與腔內血管外科雜志, 2018, 4(6): 490-495.
7.	鄭雪紅, 王秀麗, 趙燕丹, 等. 紅外線熱成像儀皮溫監測在組織移植再植術后護理中的應用. 中華顯微外科雜志, 2021, 44(4): 468-470.
8.	劉麗娟. 醫用紅外線熱成像技術的物理學原理探析. 科技展望, 2016(5): 158.
9.	鄭宏庭, 陳衛, 鄧華聰. 應用紅外熱像技術評估糖尿病合并下肢血管病變患者治療效果與預后. 中國臨床康復, 2004(6): 1176-1177.
10.	Romanò CL, Romanò D, Dell’Oro F, et al. Healing of surgical site after total hip and knee replacements show similar telethermographic patterns. J Orthop Traumatol, 2011, 12(2): 81-86.
11.	張旭東, 繆建良, 姚衛華, 等. 遠紅外線熱成像圖在觀察隨意皮瓣活性中的應用研究. 中國美容醫學, 2014, 23(18): 1526-1530.
12.	黃天翔, 潘佳棟, 肖棟超, 等. 紅外熱成像術在術中皮瓣血供評估中的應用進展. 骨科臨床與研究雜志, 2021, 6(3): 180-183.
13.	Engel H, Huang JJ, Tsao CK, et al. Remote real-time monitoring of free flaps via smartphone photography and 3G wireless Internet: a prospective study evidencing diagnostic accuracy. Microsurgery, 2011, 31(8): 589-595.
14.	徐偉華, 林平, 許甜甜, 等. 紅外線熱成像技術在游離股前外側穿支皮瓣設計中的應用. 中國骨傷, 2019, 32(11): 1053-1057.
15.	付瓊, 彭伶麗. 皮瓣移植術后血管危象發生的影響因素分析. 全科醫學, 2020, 18(15): 1843-1845.
16.	Markiewicz MR, Bell RB, Bui TG, et al. Survival of microvascular free flaps in mandibular reconstruction: a systematic review and meta-analysis. Microsurgery, 2015, 35(7): 576-587.
17.	Ishimaru M, Ono S, Suzuki S, et al. Risk factors for free flap failure in 2846 patients with head and neck cancer: a national database study in Japan. J Oral Maxillofac Surg, 2016, 74: 1265-1270.
18.	Bui DT, Cordeiro PG, Hu QY, et al. Free flap reexploration: indications, treatment, and outcomes in 1193 free flaps. Plast Reconstr Surg, 2007, 119(7): 2092-2100.
19.	熊哲禎, 許律廷, 劉凱. 紅外線成像技術在皮瓣移植圍手術期檢測中的應用. 組織工程與重建外科雜志, 2018, 14(6): 331-334.
20.	施平, 袁萍, 盛譽, 等. 紅外線皮溫儀監測斷指再植術后血管危象的預警效果. 南通大學學報(醫學版), 2020, 40(4): 348-357.

1. Lohman RF, Ozturk CN, Ozturk C, et al. An analysis of current techniques used for intraoperative flap evaluation. Ann Plast Surg, 2015, 75(6): 679-685.
2. 趙彩英, 劉杰永, 喬建華, 等. 腹部帶蒂皮瓣修復手部創面的護理. 華西醫學, 2010, 25(5): 1003-1004.
3. 梁妮, 李偉霞. 紅外線熱成像在游離皮瓣移植術后皮瓣血液循環監測中的應用進展. 中西醫結合護理(中英文), 2018, 4(10): 214-217.
4. 許鑫, 宋秋燕, 王鳳巖, 等. 不同皮溫檢測方法在穿支皮瓣移植術后護理中的應用. 解放軍護理雜志, 2011, 28(9): 12-14.
5. Salmi AM, Tukiainen E, Asko-Seljavaara S. Thermographic mapping of perforators and skin blood flow in the free transverse rectus abdominis musculocutaneous flap. Ann Plast Surg, 1995, 35(2): 159-164.
6. 李壽鵬, 續琴, 馮燕, 等. 紅外線熱成像儀評價組織壞死期血栓閉塞性脈管炎的治療效果. 血管與腔內血管外科雜志, 2018, 4(6): 490-495.
7. 鄭雪紅, 王秀麗, 趙燕丹, 等. 紅外線熱成像儀皮溫監測在組織移植再植術后護理中的應用. 中華顯微外科雜志, 2021, 44(4): 468-470.
8. 劉麗娟. 醫用紅外線熱成像技術的物理學原理探析. 科技展望, 2016(5): 158.
9. 鄭宏庭, 陳衛, 鄧華聰. 應用紅外熱像技術評估糖尿病合并下肢血管病變患者治療效果與預后. 中國臨床康復, 2004(6): 1176-1177.
10. Romanò CL, Romanò D, Dell’Oro F, et al. Healing of surgical site after total hip and knee replacements show similar telethermographic patterns. J Orthop Traumatol, 2011, 12(2): 81-86.
11. 張旭東, 繆建良, 姚衛華, 等. 遠紅外線熱成像圖在觀察隨意皮瓣活性中的應用研究. 中國美容醫學, 2014, 23(18): 1526-1530.
12. 黃天翔, 潘佳棟, 肖棟超, 等. 紅外熱成像術在術中皮瓣血供評估中的應用進展. 骨科臨床與研究雜志, 2021, 6(3): 180-183.
13. Engel H, Huang JJ, Tsao CK, et al. Remote real-time monitoring of free flaps via smartphone photography and 3G wireless Internet: a prospective study evidencing diagnostic accuracy. Microsurgery, 2011, 31(8): 589-595.
14. 徐偉華, 林平, 許甜甜, 等. 紅外線熱成像技術在游離股前外側穿支皮瓣設計中的應用. 中國骨傷, 2019, 32(11): 1053-1057.
15. 付瓊, 彭伶麗. 皮瓣移植術后血管危象發生的影響因素分析. 全科醫學, 2020, 18(15): 1843-1845.
16. Markiewicz MR, Bell RB, Bui TG, et al. Survival of microvascular free flaps in mandibular reconstruction: a systematic review and meta-analysis. Microsurgery, 2015, 35(7): 576-587.
17. Ishimaru M, Ono S, Suzuki S, et al. Risk factors for free flap failure in 2846 patients with head and neck cancer: a national database study in Japan. J Oral Maxillofac Surg, 2016, 74: 1265-1270.
18. Bui DT, Cordeiro PG, Hu QY, et al. Free flap reexploration: indications, treatment, and outcomes in 1193 free flaps. Plast Reconstr Surg, 2007, 119(7): 2092-2100.
19. 熊哲禎, 許律廷, 劉凱. 紅外線成像技術在皮瓣移植圍手術期檢測中的應用. 組織工程與重建外科雜志, 2018, 14(6): 331-334.
20. 施平, 袁萍, 盛譽, 等. 紅外線皮溫儀監測斷指再植術后血管危象的預警效果. 南通大學學報(醫學版), 2020, 40(4): 348-357.

Previous Article
A comparative study of white matter integrity in bipolar affective disorder and schizophrenia
Next Article
Cost estimation and influencing factor analysis of continuous renal replacement therapy

West China Medical Journal

Applicational efficacy of infrared thermal imager in monitoring postoperative blood supply of flap

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content