股前外侧区穿支动脉的形态学研究及皮瓣设计

doi:10.3760/cma.j.issn.1001-2036.2007.03.013

科研成果详情

题名	股前外侧区穿支动脉的形态学研究及皮瓣设计
其他题名	Morphologic analysis and flap design on the perforators of anterolateral thigh
作者	周鹏; 杨新东; 徐象党; 唐茂林
发表日期	2007-06-25
发表期刊	中华显微外科杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	股部旋股外侧动脉穿支皮瓣移植显微外科
摘要	目的探讨以旋股外侧动脉降支为蒂的皮瓣设计方法,以便增加术前多普勒定位的准确性。方法6具动脉灌注明胶-氧化铅混悬液的新鲜成人整尸标本,解剖观测股前外侧区穿支,通过血管造影术和拍摄X线片测量其直径、行程、分支和定位。用3D-doctor和Scion Image软件分别测量穿支供血的趋向性、三维重建和单穿支供血面积。结果股前外侧区共有外径大于0.5 mm穿支16支,平均外径0.8 mm,平均供血面积45.61 cm~2,其中20%为肌间隙穿支,80%为肌皮穿支。平均蒂长为(3.15±1.43)cm。自旋股外侧动脉降支发出的穿支在浅筋膜中的平均长度为2.63 cm。结论改良的氧化铅-明胶灌注技术可以为皮动脉和穿支皮瓣的研究提供高质量的血管造影图像。本研究发现股前外侧单穿支皮瓣的最大供血面积是30 cm×20 cm。以股前外侧区穿支设计的穿支皮瓣可以移植到下肢或身体其他部位。
其他摘要	Objective To investigate a new method of improving design of the skin flap pedicled with descending branch of lateral femoral circumflex artery, in order to increase the accuracy of preoperative Doppler location. Methods Six fresh cadavers underwent a whole body, intra-arterial injection of a lead oxide and gelatine preparation. Observe the perforators of anterolateral thigh by dissection, measured their diameter; course, branches and location for there were showed up by angiography and photography. A specific program, 3D-doctor, was used for the detection of the regions of interest in angisome and its 3D-reconstructive. In addition to the average area supplied by a single perforator within that territory was calculated from digital angiograms using Scion Image. Results There were 16 perforators that the diameter ≥0. 5 mm, 20% were septocutaneous, 80% were musculocutaneous. Their average external diameter was 0. 8 mm. The average pedicle length from the deep fascia was （3.15±1.43 ）mm; the perforators from descending branch of lateral circumflex femoral artery walk length average about 2.63 cm in superficial fascia. The area of each perforator supplied blood was average 45.61 cm~2. Condusion Modified lead oxid-gelatine technique provides high quality angiograms for the study of cutaneous artery and perforator falp. Based on our data, the maximum dimension of the anterolateral thigh perforator flap can be 30 cm × 20 cm in with only a single dominant perforator. The perforator flaps deviced by perforators from the anterolateral thigh are transplanted to the lower limbs and the other part of the body.
ISSN	1001-2036
卷号	30 期号:03 页码:203-205+243
DOI	10.3760/cma.j.issn.1001-2036.2007.03.013
页数	4
收录类别	CNKI ; CSCD ; 万方 ; 北大核心 ; PKU ; ISTIC
学科领域	医药、卫生 ; 外科学
URL	查看原文
CSCD记录号	CSCD:2954334
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/94454
专题	温州医科大学基础医学院（机能实验教学中心）_形态学系_人体解剖学
作者单位	温州医学院解剖学教研室
第一作者单位	温州医科大学
第一作者的第一单位	温州医科大学
推荐引用方式 GB/T 7714	周鹏,杨新东,徐象党,等. 股前外侧区穿支动脉的形态学研究及皮瓣设计[J]. 中华显微外科杂志,2007,30(03):203-205+243.
APA	周鹏, 杨新东, 徐象党, & 唐茂林. (2007). 股前外侧区穿支动脉的形态学研究及皮瓣设计. 中华显微外科杂志, 30(03), 203-205+243.
MLA	周鹏,et al."股前外侧区穿支动脉的形态学研究及皮瓣设计".中华显微外科杂志 30.03(2007):203-205+243.

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