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    • 胸背动脉外侧支第一穿支皮瓣的解剖与应用

    Ai-wu WANG,Zhuang-qun YANG

    Systems Medicine（2017）

    Cited 1|Views6
    Abstract
    目的 研究胸背动脉外侧支第一穿支的解剖走行、 供血范围和临床应用.方法 自2008年10月—2016年12月,对30例患者实施胸背动脉外侧支第一穿支皮瓣移植修复术,创面均为皮肤全层缺损并深部组织外露.皮瓣解剖不带背阔肌,不带胸背神经.游离移植25例,带蒂转移5例.修复头颈部创面6例,胸部2例,腋窝创面2例,四肢创面20例.创伤皮肤缺损13例,肿瘤创面7例,电烧伤及深度烧伤创面4例,瘢痕畸形创面4例,溃疡创面2例.皮瓣最小8 cm×5 cm,最大20 cm×12 cm.结果 30例皮瓣均完整解剖,胸背动脉外侧支第一穿支穿皮点位于肩胛下角水平线与背阔肌前缘内侧2 cm等弧线相交点附近2 cm范围内,较为恒定出现.皮瓣血供良好,移植后完全成活,创面均得到一期修复.供区均直接拉拢缝合.结论 胸背动脉外侧支第一穿支皮瓣解剖较为恒定,解剖容易,皮瓣供血范围较大,血供良好,其源动脉—胸背动静脉血管管径较大,适合游离移植和带蒂转移.移植后的皮瓣不臃肿.供区较为隐蔽且多可直接缝合,切取后对背阔肌功能无影响.是理想的修复供区.
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