股深动脉穿支皮瓣应用于乳房再造的解剖学研究

doi:10.13418/j.issn.1001-165x.2014.04.003

中国临床解剖学杂志 ›› 2014, Vol. 32 ›› Issue (4): 384-386.doi: 10.13418/j.issn.1001-165x.2014.04.003

股深动脉穿支皮瓣应用于乳房再造的解剖学研究

刘温悦¹，　穆兰花¹，　张寒¹，　陈茹¹，　张妍¹，　严义坪²

中国医学科学院北京协和医学院整形外科医院　1.乳房整形美容中心，　2.研究中心解剖室，北京 100144

收稿日期:2013-12-02 出版日期:2014-07-25 发布日期:2014-08-07
通讯作者: 穆兰花，教授，主任医师，博士生导师，E-mail:mulan666@aliyun.com E-mail:yuelw0413@hotmail.com
作者简介:刘温悦（1989-），女，湖南人，在读研究生，主要从事乳房整形与再造研究，Tel：（010）88772072

The anatomical study for the application of profunda artery perforator flap in breast reconstruction

LIU Wen-yue¹, MU Lan-hua¹, ZHANG Han¹, CHEN Ru¹, ZHANG Yan¹, YAN Yi-ping²

1.The Center of Mammoplasty and Breast Reconstruction，2.Anatomy Research Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China

Received:2013-12-02 Online:2014-07-25 Published:2014-08-07

摘要/Abstract

摘要：

目的　为股深动脉穿支皮瓣应用于乳房再造提供解剖学依据。方法　5例10侧成人新鲜下肢尸体标本进行乳胶或氧化铅动脉灌注，解剖观察后区域血管的形态及分布，测量股深动脉穿动脉穿支血管数量、管径、血管蒂长度及伴行静脉管径。在此基础上进行了股后区穿支皮瓣切取的手术模拟。结果　股深动脉第1穿动脉发出4~9支穿支供应股后区皮肤，以肌皮穿支为主，偶可见肌间隔穿支；降支优势较多，优势穿支多发自股后内侧。血管蒂长为(10.6±2.6)cm，其外径为(2.2±1.0)cm，伴行静脉外径分别为(1.8±0.8)mm与(2.1±1.8)mm。结论　股深动脉穿支皮瓣血供存在个体差异，尤以第1穿动脉对其影响较大，有待进一步研究确保皮瓣切取的安全性与精确性。

关键词: 股后区, 股深动脉穿支皮瓣, 第1穿动脉, 乳房再造

Abstract:

Objective　To provide anatomic basis for the application of profunda artery perforator flap (PAP) in breast reconstruction.　Methods　Ten fresh human cadaveric thighs underwent a intraarterial injection of a lead oxide or latex preparation and dissected. The pattern of vascular distribution in the posterior thigh region was observed, and data relevant (the number of perforators, diameters of the arteries and veins accompanying, pedicle length) was measured. Results were reported as Mean±SD. Based on the anatomical basis above, Surgical simulation was proceeded. Results 　The first perforating artery of the profunda femoris artery gave rise to 4 to 9 cutaneous perforators (most myocutaneous ), and most of the dominant perforators which were located in the posteromedial thigh descended from the descending branch of the first perforating artery. The pedicle length was (10.6±2.6) cm, the average external diameter was (2.2±1.0) cm, and the external diameter of concomitant veins were (1.8±0.8)mm and (2.1±1.8)mm.　Conclusions　Regardless of the vascular variety of PAP flap, the first perforating artery of the profunda femoris artery plays an important role on its blood supply. However, more research need to be conducted to guarantee the safety and accuracy of procedure.

Key words: Posterior thigh, PAP, The first perforating artery, Breast reconstruction

中图分类号:

R323.72

刘温悦, 穆兰花, 张寒, 陈茹, 张妍, 严义坪. 股深动脉穿支皮瓣应用于乳房再造的解剖学研究[J]. 中国临床解剖学杂志, 2014, 32(4): 384-386.

LIU Wen-Yue, MU Lan-Hua, ZHANG Han, CHEN Ru, ZHANG Yan, YAN Xi-Ping. The anatomical study for the application of profunda artery perforator flap in breast reconstruction [J]. Chinese Journal of Clinical Anatomy, 2014, 32(4): 384-386.

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股深动脉穿支皮瓣应用于乳房再造的解剖学研究

The anatomical study for the application of profunda artery perforator flap in breast reconstruction

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