面动脉穿支皮瓣的血管原理:101条穿支的区域分析
摘要
背景与目的面动脉穿支皮瓣已发展为口周及鼻翼缺损的精确再造修复技术。该技术让移植再造术由传统的两步缩短为一步。尸体研究已描述了面动脉穿支的数量、位置和尺寸。已清楚了面部动脉的血液供应,但是每条穿支的皮肤血液供应情况仍不清楚。方法作者对新鲜尸体的20条面动脉进行了解剖分析。剥离所有直径大于0.5mm的面部动脉穿支并测量其直径。所有穿支皮瓣选择性注入1ml的墨水稀释液。所有结果进行统计分析。结果解剖分析了20条面部动脉,平均长度为12.06cm。每条面动脉上直径大于0.5mm的穿支数量平均为5.05支。穿支的平均直径是0.96mm。共101条穿支选择注射墨水,所有注射皮肤区域的平均面积是8.05cm2。确定了7个主要的穿支体区。结论面动脉穿支似乎主要集中于口角连和横向1—2cm处。确定了7个主要的穿支体区,可作为局部皮瓣设计的基础。本研究增加了我们对面部血管化的理解,并将结束我们在面部重建术中使用随意型皮瓣的历史,让面部重建术更加精确。
出处
《中国美容整形外科杂志》
CAS
2013年第5期I0006-I0011,共6页
Chinese Journal of Aesthetic and Plastic Surgery
参考文献25
-
1Saint-Cyr M,Schaverien MV,Rohrich RJ.Perforator flaps:history,controversies,physiology,anatomy,and use in reconstruction[J].Plast Reconstr Surg,2009,123(4):132e-145e.
-
2Geddes CR,Morris SF,Neligan PC.Perforator flaps:evolution,classification,and applications[J].Ann Plast Surg,2003,50(1):90-99.
-
3Lecours C,Saint-Cyr M,Wong C,et al.Freestyle pedicle perforator flaps:clinical results and vascular anatomy[J].Plast Reconstr Surg,2010,126(5):1589-1603.
-
4Koshima I,Soeda S.Inferior epigastric artery skin flaps without rectus abdominis muscle[J].Br J Plast Surg,1989,42(6):645-648.
-
5Angrigiani C,Grilli D,Siebert J.Latissimus dorsi musculocutaneous flap without muscle[J].Plast Reconstr Surg,1995,96(7):1608-1614.
-
6Kawai K,Imanishi N,Nakajima H,et al.Vascular anatomy of the anterolateral thigh flap[J].Plast Reconstr Surg,2004,114(5):1108-1117.
-
7Heitmann C,Guerra A,Metzinger SW,et al.The thoracodorsal artery perforator flap:anatomic basis and clinical application[J].Ann Plast Surg,2003,51(1):23-29.
-
8Tiengo C,Macchi V,Porzionato A,et al.Anatomical study of perforator arteries in the distally based radial forearm fasciosubcutaneous flap[J].Clin Anat,2004,17(8):636-642.
-
9Lykoudis EG,Spyropoulou GA,Vlastou CC.The anatomic basis of the gracilis perforator flap[J].Br J Plast Surg,2005,58(8):1090-1094.
-
10Sinna R,Hajji H,Qassemyar Q,et al.Anatomical background of the perforator flap based on the deep branch of the superficial circumflex iliac artery (SCIP Flap):a cadaveric study[J].Eplasty,2010,10:e11.
-
1Ru Wang,Yin Cen,朱利娜(译),魏峰(译),高景恒(译).面动脉穿支皮瓣的血管基础:101条穿支的区域分析[J].中国美容整形外科杂志,2013,24(5).
-
2孟镔,苑进凯,董传江,蔡明志,李大巍,孟迪生.LC胆道损伤的外科应用解剖分析[J].局解手术学杂志,2007,16(2):102-102. 被引量:2
-
3朱太君.面部瘢痕美容修复疗效[J].医学信息(中旬刊),2011,24(8):3614-3615.
-
4张红,李荔,李嫚.超声造影在移植肾排斥反应中的诊断价值[J].医学影像学杂志,2012,22(3):479-481. 被引量:2
-
5王瑞久.医源性桡神经损伤4例分析[J].中国误诊学杂志,2009,9(16):4001-4001.
-
6胡志奇,罗锦辉,陈林峰,时安平.轴型筋膜瓣加植皮修复下睑外翻及眶下组织重度凹陷[J].中国修复重建外科杂志,1999,13(1):24-27. 被引量:1
-
7陈长健,邵林.腕舟骨骨不连诊疗进展[J].创伤外科杂志,2013,15(3):271-273. 被引量:5
-
8汪国友.不稳定转子间骨折的手术治疗现状[J].实用医院临床杂志,2005,2(4):86-87.
-
9吴伟炽,黄东,牛国庆,牟勇.外踝上穿支皮瓣解剖分析与临床应用[J].实用手外科杂志,2014,28(1):13-15. 被引量:2
-
10崔海云,曹丕健.手术误伤桡神经7例[J].菏泽医学专科学校学报,2006,18(1):52-53.