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目的 研究肩钾下血管蒂组织瓣的血供解剖 ,解决肩钾下血管蒂的联合组织瓣的临床应用。方法 采用 6具新鲜尸体标本 ,从肩胛下血管起始处灌注中华墨汁 ,观察皮肤着色范围 ,于背阔肌上缘、前缘、肩胛岗、腋前线和髂嵴平面分别切取组织块做连续切片 ,应用Luzex F图像分析仪 ,观察皮瓣间微血管构筑。结果 肩胛皮瓣、背阔肌肌皮瓣、侧胸皮瓣间存在非常丰富的血管吻合网。临床上以肩胛下动静脉为血管蒂 ,包含肩胛皮瓣、背阔肌肌皮瓣、侧胸皮瓣联合移植修复巨大软组织缺损 ,吻合血管移植 6例 ,轴型皮瓣移植 5 0例 ,均获成功。结论 肩胛下血管蒂联合组织瓣是一个理想的供区 ,可用于移植修复大范围组织缺损。
Objective To study the blood supply anatomy of the pedicel pedicel pedicle flap, and to solve the clinical application of the joint flap pedicled with the pedicel pedicel. Methods Six fresh cadaver specimens were used to perfuse Chinese ink from the beginning of the subscapular vessels. The skin color range was observed. Tissue pieces were excised from the upper edge of latissimus dorsi, the leading edge, the scapular cleft, the anterior axillary line and the iliac crest respectively. , Luzex F image analyzer was used to observe the flap microvascular structure. Results Scapular flaps, latissimus dorsi myocutaneous flap, side chest flap between the very rich vascular anastomosis. Clinical scapular artery and vein for the pedicle, including the scapular flaps, latissimus dorsi muscle flap, lateral flap combined transplantation of giant soft tissue defects, vascular graft anastomosis in 6 cases, axial flap transplantation 50 cases were Be successful. Conclusion The subscapular vascularized joint flap is an ideal donor area for transplantation to repair large-scale tissue defects.