中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2014年
5期
349-353
,共5页
张佳琦%张金明%陈宇宏%冀晨阳
張佳琦%張金明%陳宇宏%冀晨暘
장가기%장금명%진우굉%기신양
胸廓内动脉%腹壁上动脉%外科皮瓣%乳房再造术
胸廓內動脈%腹壁上動脈%外科皮瓣%乳房再造術
흉곽내동맥%복벽상동맥%외과피판%유방재조술
Internal mammary artery%Superior epigastric artery%Surgical flaps%Mammaplasty
目的 探讨腹壁上动脉主干胸廓内动脉的走行,从影像学角度分析截断下位肋软骨,进行带蒂横行腹直肌肌皮瓣用于乳房再造的可行性.方法 对30例患者进行腹部血管CT造影,以观察并记录下述指标:①胸廓内动脉到胸骨正中线的距离;②胸廓内动脉分出腹壁上动脉及肌膈动脉分支点在第5～7肋及肋间隙出现的数目,并定位分支点;③定位腹壁上动脉穿越腹直肌的分支点.结果 ①第4～6肋间隙,左胸廓内动脉距胸骨正中线的平均距离为1.66—2.34 em,右胸廓内动脉距胸骨正中线的平均距离为1.55—2.29 cm;②位于第6肋间隙的分支点最多;③腹壁上动脉及其较大分支共有235个分支点.结论 对腹壁上动脉主干胸廓内动脉走行的影像学观察结果表明,截断下位肋软骨行带蒂横行腹直肌肌皮瓣的乳房再造具有可行性,且对于延长皮瓣蒂部以及再造乳房具有重要意义.
目的 探討腹壁上動脈主榦胸廓內動脈的走行,從影像學角度分析截斷下位肋軟骨,進行帶蒂橫行腹直肌肌皮瓣用于乳房再造的可行性.方法 對30例患者進行腹部血管CT造影,以觀察併記錄下述指標:①胸廓內動脈到胸骨正中線的距離;②胸廓內動脈分齣腹壁上動脈及肌膈動脈分支點在第5～7肋及肋間隙齣現的數目,併定位分支點;③定位腹壁上動脈穿越腹直肌的分支點.結果 ①第4～6肋間隙,左胸廓內動脈距胸骨正中線的平均距離為1.66—2.34 em,右胸廓內動脈距胸骨正中線的平均距離為1.55—2.29 cm;②位于第6肋間隙的分支點最多;③腹壁上動脈及其較大分支共有235箇分支點.結論 對腹壁上動脈主榦胸廓內動脈走行的影像學觀察結果錶明,截斷下位肋軟骨行帶蒂橫行腹直肌肌皮瓣的乳房再造具有可行性,且對于延長皮瓣蒂部以及再造乳房具有重要意義.
목적 탐토복벽상동맥주간흉곽내동맥적주행,종영상학각도분석절단하위륵연골,진행대체횡행복직기기피판용우유방재조적가행성.방법 대30례환자진행복부혈관CT조영,이관찰병기록하술지표:①흉곽내동맥도흉골정중선적거리;②흉곽내동맥분출복벽상동맥급기격동맥분지점재제5～7륵급륵간극출현적수목,병정위분지점;③정위복벽상동맥천월복직기적분지점.결과 ①제4～6륵간극,좌흉곽내동맥거흉골정중선적평균거리위1.66—2.34 em,우흉곽내동맥거흉골정중선적평균거리위1.55—2.29 cm;②위우제6륵간극적분지점최다;③복벽상동맥급기교대분지공유235개분지점.결론 대복벽상동맥주간흉곽내동맥주행적영상학관찰결과표명,절단하위륵연골행대체횡행복직기기피판적유방재조구유가행성,차대우연장피판체부이급재조유방구유중요의의.
Objective To investigate the distribution of the internal mammary artery and its branches by the multi-slice spiral CT angiography,and to explore the feasibility of transferring pedicled transverse rectus abdomials myocataneous (TRAM) flap for breast reconstruction through resection of inferior costicartilages.Methods 30 female patients received abdominal CT angiography.①The distance between internal mammary artery and the sternum midline were recorded; ② The position and the numbers of branches from bilateral internal mammary arteries at the level of 5th,6th,7th rib was observed; ③ The points where the superior epigastric artery gets through the rectus abdominis muscle were located.Results ① The average distance between left internal mammary artery to the sternum midline is from 1.66 cm (0.62-2.39 cm) to 2.34 cm (0.69-3.36 cm) at the level from 4th to 6th intercostal space.The average distance between right internal mammary artery to the sternum midline is from 1.55 cn (0.66-2.29 cm) to 2.29 cm(0.73-3.67 cm) at the level from 4th to 6th intercostal space; ② The number of branches is the most at the level of 6th intercostal space; ③ There are 235 branches in the superior epigastric artery.Conclusions This imaging study of internal mammary artery explores the feasibility of transferring pedicled transverse rectus abdominals myocataneous flap for breast reconstruction.It has important significance in the breast reconstruction using TRAM flap with lengthened pedicle.
