摘要
经过５７例５８块股前外侧皮瓣移植手术所见，皮血管大部属肌皮穿支型，且术前用多普勒血流仪作出的定位大多与实际相距较远。旋股外侧动脉降支下行途中发至皮瓣血管的穿支及浅出点的部位高低，深浅也有较大差异，这些均对术中皮血管的选取，解剖游离带来困难，甚至失误。作者提出：可根据不同情况采用①延长皮溶内侧缘切口；②切开皮瓣上端时逐层切开浅深筋膜；③逆行自下而上游离皮瓣；④对穿行于肌中的穿支游离时带上３～５ｍｍ肌袖；⑤对皮血管细小者同时取用２支或对皮血管进行组合吻合等方法加以处理。
ascular
variations before and during operation were found in a majority of
the 58 clinicalcases of anterolateral femoral cutaneous flap
transfer;The nourishing artery of the flap, whichrises from the
decending branch of the lateral femoral circumflex artery, keeps
chanch of its ori-gin and entrance to the flap. The vascular
variations bring huge difficulties in blood vessel selec-tion and
operation. Five procedures were afforded by the authors for dealing
with the vascularvariations in anterolateral femoral cutaneous flap
transfer,i.e. to prolong the medial incision ofthe flap, to dissect
the superior end of the flap layer by layer, to free the flap
reversely from theinferior end, to free the perforating arterial
branch with a 3～5mm surrounding muscle sleeve,and to maintain 2
cutaneous nourishing arteries in the cases with tiny vascular
branches.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1995年第1期65-67,共3页
Chinese Journal of Clinical Anatomy
关键词
股前外侧皮瓣
血管变异
处理
anterolateral femoral cutaneous flap
vascular
variation
clinic
