犬穿支蒂隐神经营养血管皮瓣的实验研究

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (5): 536-540.

犬穿支蒂隐神经营养血管皮瓣的实验研究

岳素琴¹，　陈超勇²，　黄连花²，　郑和平¹，　张发惠¹

1.南京军区福州总医院军区骨科研究所，福州 350025；　2.襄阳市中医医院，湖北襄阳 441000

收稿日期:2011-02-10 出版日期:2011-09-25 发布日期:2011-09-29
通讯作者: 郑和平，主任医师，硕士生导师，Tel：（0591）24937085，E-mail:zhpfz@163.com
作者简介:岳素琴（1958-），女，福建莆田人，副主任医师，主要从事显微外科学研究，Tel：（0591）24937019
基金资助:
福建省自然科学基金（2009J01183）

Experimental study of canine skin flap pedicled with perforating branches of saphenous neurocutaneous vessels

YUE Su-qin1，CHEN Chao-yong2，HUANG Lian-hua2, ZHENG He-ping1, ZHANG Fa-hui1

1.Laboratory of Clinical Anatomical Research Center of Military Area Command in Fuzhou General Hospital of Military Area Command of Chinese PLA，Fujian 350025，China； 2. Chinese Medicine Hospital of Xiangyang City, Xiangyang 441000, China

Received:2011-02-10 Online:2011-09-25 Published:2011-09-29

摘要/Abstract

摘要：

目的　探讨血管外径与皮瓣成活面积的关系。方法　采用成年家犬后肢，制备穿支蒂隐神经营养血管皮瓣模型，测量皮瓣蒂部血管外径，于一侧后肢观察不同时间点皮瓣成活情况，测量皮瓣成活比例，在另一侧后肢灌注造影，测量皮瓣造影墨染比例。结果　犬下肢腓动脉内踝上穿支外径为（1.0±　0.1）mm，皮瓣面积为（287.0±44.2）cm2 ，成活区面积为（156.6±13.6） cm2，成活比例为（55.9±9.1）%，墨染面积为（168.2±16.4）cm2，占皮瓣面积的（59.9±10.0）%。结论　血管外径变大，血流量相对增加，皮肤血供范围增大，相应皮瓣成活面积也增大。该方法建立的穿支蒂隐神经营养血管皮瓣模型，可以较好的通过灌注造影面积预测出外径与皮瓣成活面积之间的关系。

关键词: 穿支蒂, 皮瓣模型, 面积, 隐神经营养血管

Abstract:

Objective　To explore the relationship of arterial vascular caliber and flap survival area of skin flap. Methods Bilateral hind limbs of adult dogs were used to make flap model pedicled with perforating branches of saphenous neurocutaneous vessels. The diameters of the pedicled arterial vessel were measured. On one side, the flap survival at different time points were measured and compared, as well, another side was perfused black ink for measure the proportion of perfusion.　Results　The diameter of perforating branches of peroneal artery on the medial malleolus was (1.0±0.1) mm, and the flap area (287.0±44.2) cm2. The survival area was about (287.0±44.2) cm2, which accounted for (55.9±9.1)% of the total flap area. The perfusion imaging area was (168.2±16.4) cm2, which accounted for (59.9±10.0)%.　Conclusions　The survival of the flap will be supported by the wide vessels, abundant blood flow, and extensive blood supply scope. By evaluating perfusion area, the pedicled vessels and corresponding flap survival can be estimated.

Key words: Perforator, Flap model, area, Saphenous neurocutaneous vessels

中图分类号:

R616.2

岳素琴, 陈超勇, 黄连花, 郑和平, 张发惠. 犬穿支蒂隐神经营养血管皮瓣的实验研究[J]. 中国临床解剖学杂志, 2011, 29(5): 536-540.

YUE Su-Qin, CHEN Chao-Yong, HUANG Lian-Hua, ZHENG He-Beng, ZHANG Fa-Hui. Experimental study of canine skin flap pedicled with perforating branches of saphenous neurocutaneous vessels[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(5): 536-540.

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