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舌骨下肌皮瓣血管灌注的应用解剖研究 被引量:4

The Study of Microscopical Applied Anatomy of the Infrahyoid Myocutaneous Flap
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摘要 运用新鲜尸体头颈区整体血管灌注法,对5具标本进行显微外科解剖。发现舌骨下肌群各块肌肉各有来自甲状腺上动脉的肌支动脉,这些肌支动脉在各块肌肉外上缘分支呈两层血管网,包绕该肌之深浅两面。甲状腺上动脉的颈阔肌支与胸锁孔突肌支是该肌皮瓣的另一血供来源。舌骨下肌皮辮的静脉回流有深浅两套系统,其间有交通支,甲状腺上静脉是主要回流静脉,回流方式分三型。研究结果证明舌骨下肌皮辦是一种血运好,安全可靠,厚薄适宜,具有一些独特优点的肌皮瓣。 The advanced method of peffusing the head and neck region only through some major vessels of a fresh cadaver was used in our study.The 5 fresh cadavers(10 sides)were ca-refully dissected for microsurgical anatomy.The results were as follows:Each of theseinfrahyoid muscles has its own muscular brach arised from the STA and its branches.Allthese branches at the level below the hyoid bone and near the lateral border of infrahyoidmuscles.Each of these branches is up into of a fine network of capillaries which distributesaround the deep and superficial surface.The branches of the STA going to the platysma and the sternocleidomastoid are theother blood supply of the skin over the IHMCF.It revealed that there were communicationsbetween the superficial and deep veins of the IHMCF.Besides,there were three types ofvenous return of the IHMCF through the superior thyroid vein,This study certified thatthe IHMCF is a safe and reliable flap much better blood supply,suitable thickness,and along future.
出处 《华西口腔医学杂志》 CAS CSCD 北大核心 1992年第3期181-184,共4页 West China Journal of Stomatology
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