摘要
目的 用带血管蒂的背阔肌瓣构建侧支循环治疗四肢慢性缺血性疾患 ,提供解剖学依据并观察临床效果。方法 在 34例经动脉灌注红色乳胶成人尸体上 ,对肩胛下动脉的起始、分支及在背阔肌外缘深部表面的分布进行解剖学观察。结果 肩胛下动脉起始外径 (3.9± 0 .3)mm ,设计的带肩胛下动脉的血管化的背阔肌瓣长 (12 .2± 2 .3)cm ,临床观察肌瓣肿胀不明显 ,术后四月肢端血氧饱和度明显增高。结论 带肩胛下动脉的背阔肌瓣构建侧支循环治疗四肢慢性缺血性疾患有一定的可能性 ,临床效果展示了良好的前景。
Objective:To provide anatomical basis for reconstructing collateral circulation by the dorsal latissimus flap pedicled with the subscapular artery in the chronic ischemia extremities.Methods:The origin, external diameter, branch and distribution of subscapular artery was observed and measured on 34 adult limb specimens.Results:The external diameter of the subscapular artery was 3.9 ± 0.3mm. The length of the vascularized dorsal latissimus flap pedicled with the subscapular artery was 12.2±2.3cm. collateral circulation was developed in 1 cas during postoperative 4 month's follow-up.Conclusions:The vascularization of the dorsal latissimus flap pedicled with the subscapular artery could be designed to reconstruct collateral circulation for the treatment of the chronic ischemia extremities.
出处
《中国现代医学杂志》
CAS
CSCD
2003年第20期67-69,共3页
China Journal of Modern Medicine
基金
安徽省教育厅自然科学基金 (编号 :2 0 0 2kj3 10 )
关键词
肩胛下动脉
背阔肌瓣
侧支循环
肢体慢性缺血性疾病
The Subscapular Artery
Dorsal Latissimus Flap
Collateral Circulation
Limb Ischemia
