Anatomic Study and Clinic Application of Transverse Circumflex Scapular Artery Perforator Flap Repair of Lower Limb Soft Tissue Defects in Children

doi:10.1097/SAP.0000000000002365

科研成果详情

题名	Anatomic Study and Clinic Application of Transverse Circumflex Scapular Artery Perforator Flap Repair of Lower Limb Soft Tissue Defects in Children
作者	Pang, Xiaoyang 1; Cao, Zheming 1; Wu, Panfeng 1; Tang, Maolin2; Qin, Liming 1; Yu, Fang 1; Zhou, Zhenbing 1; Tang, Juyu 1
发表日期	2020-05
发表期刊	ANNALS OF PLASTIC SURGERY 影响因子和分区
语种	英语
原始文献类型	Article
关键词	transverse branch circumflex scapular artery 3-dimensional visualization children perforator flap
其他关键词	END-TO-END ; THORACODORSAL ARTERY ; DONOR-SITE ; RECONSTRUCTION ; ANASTOMOSIS
摘要	Purpose The aim of this study was to demonstrate the viability of the transverse circumflex scapular artery perforator flap (TCSAPF) in children with soft tissue defects of the lower limb. Methods In an anatomic study, 25 fresh cadavers were injected with lead oxide-gelatin for spiral computed tomography and 3-dimensional image reconstruction. In a 3-year clinical application study, children with soft tissue defects and exposed tendons and/or bones in the lower limb underwent free-TCSAPF repair of the defect. Results Perforators from the transverse branch of the circumflex scapular artery were identified in both anatomical and clinical studies. The average external diameter was 0.9 +/- 0.3 mm. Each perforator supplied an average area of 63.5 +/- 16.8 cm(2)in anatomical. Twenty-one children were included in this group (9 boys, 12 girls, mean age, 6.6 +/- 2.7 years). The size of the flaps ranged from 6 to 17 cm x 4.5 to 7 cm (average, 65.3 +/- 22.6 cm(2)). The average flap harvesting time was 30.1 +/- 8.5 minutes, average operation time was 138.6 +/- 31.5 minutes, and average blood loss was 89.5 +/- 21.9 mL. The average length of the vessel pedicle was 8.2 +/- 2.4 cm. Arterial congestion occurred in one child, 18 hours postoperatively; subsequent re-exploration and great saphenous vein transplantation were successful. Of the 3 children who had bulky flaps, 1 patient underwent defatting. Satisfactory outcomes included good appearance and function of the recipient and donor areas. Conclusions The TCSAPF provides high-quality skin and vessel flexibility, providing a reliable blood supply in children. The flap has potential benefits over existing perforator flaps.
资助项目	National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [8187081630]
出版者	LIPPINCOTT WILLIAMS & WILKINS
出版地	PHILADELPHIA
ISSN	0148-7043
EISSN	1536-3708
卷号	84 期号:5S Suppl 3 页码:S225-S229
DOI	10.1097/SAP.0000000000002365
页数	5
WOS类目	Surgery
WOS研究方向	Surgery
WOS记录号	WOS:000562465300012
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	32205500
SCOPUSEID	2-s2.0-85083544515
通讯作者地址	[Tang, Juyu]Cent South Univ, Xiangya Hosp, 87 Xiangya Rd, Changsha 410008, Hunan, Peoples R China.
Scopus学科分类	Surgery
引用统计	被引频次[WOS]：0 [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/17531
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	Tang, Juyu
作者单位	1.Cent South Univ, Xiangya Hosp, Dept Hand & Neurosurg, Changsha, Hunan, Peoples R China; 2.Wenzhou Med Univ, Dept Anat, Wenzhou, Zhejiang, Peoples R China
推荐引用方式 GB/T 7714	Pang, Xiaoyang,Cao, Zheming,Wu, Panfeng,et al. Anatomic Study and Clinic Application of Transverse Circumflex Scapular Artery Perforator Flap Repair of Lower Limb Soft Tissue Defects in Children[J]. ANNALS OF PLASTIC SURGERY,2020,84(5S Suppl 3):S225-S229.
APA	Pang, Xiaoyang., Cao, Zheming., Wu, Panfeng., Tang, Maolin., Qin, Liming., ... & Tang, Juyu. (2020). Anatomic Study and Clinic Application of Transverse Circumflex Scapular Artery Perforator Flap Repair of Lower Limb Soft Tissue Defects in Children. ANNALS OF PLASTIC SURGERY, 84(5S Suppl 3), S225-S229.
MLA	Pang, Xiaoyang,et al."Anatomic Study and Clinic Application of Transverse Circumflex Scapular Artery Perforator Flap Repair of Lower Limb Soft Tissue Defects in Children".ANNALS OF PLASTIC SURGERY 84.5S Suppl 3(2020):S225-S229.