摘要
目的 观察跨人体中线肩胛皮瓣内的血管情况。方法 采用甲醛银朱溶液对一侧的旋肩胛动脉皮支进行选择性动脉造影研究。结果 以一侧旋肩胛动脉皮支为蒂 ,灌注液可超越中线达对侧肩胛区皮肤 ,对侧血管主要集中在肩胛岗岗上区 ,吻合形式多样。结论 以一侧的旋肩胛动脉皮支为蒂 ,血流确可跨越人体中线区而达到对侧的肩胛区。中线区域的血管吻合形式多样 ,吻合范围较广。皮瓣远端血管吻合部位主要集中在肩胛岗岗上区 ,整个皮瓣血管网有向远端肩峰侧倾斜的趋势。提示在临床应用过程中 ,在术前设计形成跨中线皮瓣时 ,皮瓣远端最好在对侧肩胛下角以上 ,向对侧的肩峰区偏斜。
Objective To observe the microvascular distribution of the transmidline scapular flap supplied by the contralateral circumflex scapular artery. Methods\ The integument and deep tissues of 6 fresh cadavers were dissected and radiographed after vermilion mixture was injected to the unilateral circumflex scapular artery. Results\ The vascular tree passed the midline and reached to the contralateral acromion.The vessel density was the highest in the irrigating side of the back,which was higher in the middle area.In the contralateral side,the high vessel density concentrated in the upper part of the back. Conclusions\ The result revealed the direct evidence for the clinical application of the transmidline scapular flap.In design and elevating of the transmidline scapular flap,it should be slanting to the upper part of the contralateral back.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2004年第4期262-264,共3页
Chinese Journal of Plastic Surgery
基金
高等学校博士学科点专项科研基金资助 (项目编号 :3 2 0 2 75 5 )
