中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2012年
4期
279-281,后插3
,共4页
徐家钦%潘云川%梅劲%石小田%梁尊鸿%邱勋永
徐傢欽%潘雲川%梅勁%石小田%樑尊鴻%邱勛永
서가흠%반운천%매경%석소전%량존홍%구훈영
肋间后动脉%穿支%穿支皮瓣%应用解剖%显微外科
肋間後動脈%穿支%穿支皮瓣%應用解剖%顯微外科
륵간후동맥%천지%천지피판%응용해부%현미외과
Posterior intercostal artery%Perforator%Perfora flap%Applied anatomy%Microsurgery
目的 为肋间后动脉外侧皮穿支皮瓣临床应用提供解剖学基础. 方法 选用新鲜成人标本6具,行血管造影、三维重建及层次解剖,观测第6～ 10肋间后动脉外侧穿支的类型、管径、走行、出筋膜后轴向等.临床应用第7～ 10肋间后动脉外侧穿支皮瓣修复软组织缺损9例,皮瓣面积9.0 cm×7.0 cm～16.0 cm×12.0 cm. 结果 第6～ 10肋间后动脉外侧皮穿支来源于胸主动脉发出的肋间后动脉,于腋中线前后经肋间肌穿出深筋膜.肋间后动脉外侧皮穿支平均外径( 1.70±0.14)mm.其前支穿出深筋膜后走行长度(87.56±6.48) mm.临床上应用肋间后动脉外侧穿支皮瓣修复软组织缺损9例,效果满意. 结论 肋间后动脉外侧皮穿支可形成多种类型的轴型皮瓣,用于修复软组织缺损.
目的 為肋間後動脈外側皮穿支皮瓣臨床應用提供解剖學基礎. 方法 選用新鮮成人標本6具,行血管造影、三維重建及層次解剖,觀測第6～ 10肋間後動脈外側穿支的類型、管徑、走行、齣觔膜後軸嚮等.臨床應用第7～ 10肋間後動脈外側穿支皮瓣脩複軟組織缺損9例,皮瓣麵積9.0 cm×7.0 cm～16.0 cm×12.0 cm. 結果 第6～ 10肋間後動脈外側皮穿支來源于胸主動脈髮齣的肋間後動脈,于腋中線前後經肋間肌穿齣深觔膜.肋間後動脈外側皮穿支平均外徑( 1.70±0.14)mm.其前支穿齣深觔膜後走行長度(87.56±6.48) mm.臨床上應用肋間後動脈外側穿支皮瓣脩複軟組織缺損9例,效果滿意. 結論 肋間後動脈外側皮穿支可形成多種類型的軸型皮瓣,用于脩複軟組織缺損.
목적 위륵간후동맥외측피천지피판림상응용제공해부학기출. 방법 선용신선성인표본6구,행혈관조영、삼유중건급층차해부,관측제6～ 10륵간후동맥외측천지적류형、관경、주행、출근막후축향등.림상응용제7～ 10륵간후동맥외측천지피판수복연조직결손9례,피판면적9.0 cm×7.0 cm～16.0 cm×12.0 cm. 결과 제6～ 10륵간후동맥외측피천지래원우흉주동맥발출적륵간후동맥,우액중선전후경륵간기천출심근막.륵간후동맥외측피천지평균외경( 1.70±0.14)mm.기전지천출심근막후주행장도(87.56±6.48) mm.림상상응용륵간후동맥외측천지피판수복연조직결손9례,효과만의. 결론 륵간후동맥외측피천지가형성다충류형적축형피판,용우수복연조직결손.
Objective To provide the applied anatomy of the posterior intercostal artery perforator flap and the clinical results of repairing the soft tissue defects with lateral perforator flap. Methods Six fresh adult cadavers were injected with a lead oxide-gelatin mixture for three-dimensional visualization reconstruction using a 64-slice spiral computed tomography scanner and specialized software (Materiaise's interactive medical image control system,MIMICS).The origin,course,diameter,and distribution of the the 6-10th posterior intercostal artery perforators in the thoroax region were observed and measured.Clinically,nine cases were treated with the lateral perforator flap supplied by 7-10th posterior intercostal artery transplantation for repairing wounds in upper limbs.The flap size was 9 cm × 7 cm-16 cm × 12 cm. Results The 6-10th posterior intercostal artery perforator (outer diameter 1.70 ± 0.14 mm) were from the artery in the chest region, which pierce in deep fascia near midaxillary line. The average pedicle length from the deep fascia was (87.56 ± 6.48) mm.All of 9 cases were repaired successfully,the clinical results were satisfactory.Conclusion The posterior intercostal artery perforator flap can be used to form many kinds of axial skin flaps,it is a good option for repairing soft-tissue defect.
