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目的探讨腹壁浅动脉皮瓣的解剖学基础及其在头颈修复中的意义。方法在10例动脉内灌注红色乳胶的成人标本上,解剖观察并测量腹壁浅动、静脉的起源、走行、分支、分布、外径、蒂长及与周围血管的毗邻关系。结果腹壁浅动脉的出现率为90%(18侧),管径为(1.48±0.44)mm(0.85~2.43mm),蒂长为(4.8±1.18)cm(2.56~7.02 mm),腹壁浅静脉恒定,管径为:(2.33±0.71)mm(1.46~4.05 mm),蒂长为:(5.45±1.2)cm(4.03~8.42 cm),当腹壁浅动脉缺如或管径细小、位置靠内侧时,外侧旋髂浅动脉上升支代偿性增粗。结论腹壁浅动脉皮瓣血供可靠,面积充足,供区损伤小,可选择性的应用于头颈部的多种软组织缺损修复。
Objective To investigate the anatomic basis of superficial abdominal artery flap and its significance in the repair of head and neck. Methods The origin, course, branch, distribution, outer diameter, pedicle length of the superficial veins and adjacent vessels were dissected and observed on 10 adult red blood samples injected into the artery. Results The incidence of superficial hyphema was 90% (18 sides), the diameter was (1.48 ± 0.44) mm (0.85 ~ 2.43mm), the pedicle length was (4.8 ± 1.18) cm (2.33 ± 0.71) mm (1.46 to 4.05 mm), pedicle length was (5.45 ± 1.2) cm (4.03 to 8.42 cm). When the superficial abdominal artery was absent or had a small diameter, When the lateral iliac artery iliac artery increased compensatory thickening. Conclusion The superficial abdominal artery flap provides reliable blood supply and adequate area for lesion injury. It can be applied to various soft tissue defect repair of head and neck.