Comparison of a Small Central versus a Large Peripheral Perforator in a Rat Model of Extended Dorsal Three-Vascular Territory Perforator Flap

doi:10.1097/PRS.0000000000002991

科研成果详情

题名	Comparison of a Small Central versus a Large Peripheral Perforator in a Rat Model of Extended Dorsal Three-Vascular Territory Perforator Flap
作者	Ding, Jian; Feng, Xiaoliang; Gao, Weiyang; Yan, Hede; Tao, Xianyao; Wang, Long; Tang, Maolin
发表日期	2017-02
发表期刊	PLASTIC AND RECONSTRUCTIVE SURGERY 影响因子和分区
语种	英语
原始文献类型	Article
其他关键词	INFERIOR EPIGASTRIC PERFORATOR ; BREAST RECONSTRUCTION ; CLINICAL-IMPLICATIONS ; VASCULAR ANATOMY ; DELAY PHENOMENON ; DIEP FLAP ; CUTANEOUS FLAP ; SKIN FLAP ; EXPERIENCE ; PERFUSION
摘要	Background: Selection of suitable perforators is critical for satisfactory postre-constructive surgery outcome. This study aims to compare a small central versus a large peripheral perforator flap in a rat extended dorsal three-vascular territory perforator flap model. Methods: An extended intercostal artery perforator flap with three vascular territories was used to model a small central perforator flap. An extended deep circumflex iliac artery flap with three vascular territories was used to model a large peripheral perforator flap. Flap viability, angiography, and perfusion were compared. Results: Intercostal artery flaps showed significantly higher relative viable area than deep circumflex iliac artery flaps (98.5 +/- 3.2 percent versus 87.1 +/- 7.3 percent; p < 0.01). Angiography revealed that the anatomical and the first adjacent territories were perfused successfully in both types of flap, but the second adjacent territory of deep circumflex iliac artery flaps was not perfused sufficiently, thus ultimately leading to flap necrosis. Perfusion at the anatomical and the first adjacent territories of both types of flap increased significantly for 3 days (p < 0.05) and became stable 5 to 7 days after surgery. Perfusion at the second adjacent territory of deep circumflex iliac artery flaps diminished continuously. Conclusions: A small central perforator may supply a larger vascular territory than a large peripheral perforator. Both the size and the location of a perforator should be considered for optimizing the design of an extended perforator flap.
资助项目	National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81171695]; Natural Science Foundation of Zhejing Province of China [LY15H060010]
出版者	LIPPINCOTT WILLIAMS & WILKINS
出版地	PHILADELPHIA
ISSN	0032-1052
EISSN	1529-4242
卷号	139 期号:2 页码:434E-443E
DOI	10.1097/PRS.0000000000002991
页数	10
WOS类目	Surgery
WOS研究方向	Surgery
WOS记录号	WOS:000394059300030
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	28121874
SCOPUSEID	2-s2.0-85010888022
通讯作者地址	[Gao, Weiyang]Wenzhou Med Univ, Dept Hand & Plast Surg, Affiliated Hosp 2, 109 West Xue Yuan Rd, Wenzhou 325000, Peoples R China.
Scopus学科分类	Surgery
TOP期刊	TOP期刊
引用统计	被引频次：9[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/13843
专题	基础医学院（机能实验教学中心）_形态学系_人体解剖学
通讯作者	Gao, Weiyang
作者单位	Wenzhou Med Univ, Dept Hand & Plast Surg, Affiliated Hosp 2, 109 West Xue Yuan Rd, Wenzhou 325000, Peoples R China; Wenzhou Med Univ, Dept Anat, Wenzhou, Peoples R China
第一作者单位	基础医学院（机能实验教学中心）_形态学系_人体解剖学
通讯作者单位	第二临床医学院，附属第二医院、育英儿童医院; 附属第二医院
第一作者的第一单位	基础医学院（机能实验教学中心）_形态学系_人体解剖学
推荐引用方式 GB/T 7714	Ding, Jian,Feng, Xiaoliang,Gao, Weiyang,et al. Comparison of a Small Central versus a Large Peripheral Perforator in a Rat Model of Extended Dorsal Three-Vascular Territory Perforator Flap[J]. PLASTIC AND RECONSTRUCTIVE SURGERY,2017,139(2):434E-443E.
APA	Ding, Jian., Feng, Xiaoliang., Gao, Weiyang., Yan, Hede., Tao, Xianyao., ... & Tang, Maolin. (2017). Comparison of a Small Central versus a Large Peripheral Perforator in a Rat Model of Extended Dorsal Three-Vascular Territory Perforator Flap. PLASTIC AND RECONSTRUCTIVE SURGERY, 139(2), 434E-443E.
MLA	Ding, Jian,et al."Comparison of a Small Central versus a Large Peripheral Perforator in a Rat Model of Extended Dorsal Three-Vascular Territory Perforator Flap".PLASTIC AND RECONSTRUCTIVE SURGERY 139.2(2017):434E-443E.