腹壁浅动脉皮瓣的应用解剖及其在头颈部修复中的意义

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (4): 378-381.

腹壁浅动脉皮瓣的应用解剖及其在头颈部修复中的意义

王晓敏¹，　马士崟²，　张　凯¹，　孟中华¹

1. 蚌埠医学院第一附属医院口腔颌面外科；　2.耳鼻喉头颈外科，安徽蚌埠 233000

收稿日期:2010-08-10 发布日期:2011-07-26
通讯作者: 张　凯,副教授，硕士生导师，Tel:(0552)3086336,E-mail:zk9788@yahoo.com.cn E-mail:wxm82416@yahoo.cn.
作者简介:王晓敏（1980-），女，硕士研究生，研究方向：头颈肿瘤
基金资助:
安徽省卫生厅临床医学应用技术项目（2008B016）

Applied anatomy of the superficial inferior epigastric artery flap and its clinical significance in repairing head and neck defect

WANG Xiao-min¹, MA Shi-yin¹ , ZHANG kai², MENG Zhong-hua¹

1.Department of Oral and Maxillofacial Surgery, 2.Department of Otorhinolaryngology, the First Affiliated Hospital, Bengbu Medical College, Bengbu 233000, China

Received:2010-08-10 Published:2011-07-26

摘要/Abstract

摘要：

目的　探讨腹壁浅动脉皮瓣的解剖学基础及其在头颈修复中的意义。方法　在10例动脉内灌注红色乳胶的成人标本上，解剖观察并测量腹壁浅动、静脉的起源、走行、分支、分布、外径、蒂长及与周围血管的毗邻关系。结果　腹壁浅动脉的出现率为90%（18侧），管径为(1.48±0.44) mm（0.85~2.43 　mm）, 蒂长为(4.8±1.18) cm (2.56~7.02 mm)，腹壁浅静脉恒定，管径为：(2.33±0.71) mm (1.46~4.05 mm)，蒂长为：(5.45±1.2) cm（4.03~8.42 cm），当腹壁浅动脉缺如或管径细小、位置靠内侧时，外侧旋髂浅动脉上升支代偿性增粗。结论　腹壁浅动脉皮瓣血供可靠，面积充足，供区损伤小，可选择性的应用于头颈部的多种软组织缺损修复。

关键词: 腹壁浅动脉, 外科皮瓣, 应用解剖, 头颈修复重建

Abstract:

Objective　To study anatomic features of the superficial inferior epigastric artery(SIEA) flap and explore its clinical application in the repair of head and neck defects.　Methods　The origin, course, branch, distribution, diameter, pedicle length and neighbours of superficial inferior epigastric artery and vein were dissected and measured in 10 adult corpses perfused with red latex through artery system.　Results　In our series of 20 cadaveric dissections, the SIEA was identified in 18(90%) and the SIEV in 20(100%). The external diameter of SIEA was 1.48±0.44mm(0.85~2.43）, The length of SIEA was 4.8±1.18 cm (2.56~7.02), averagely. The external diameter of SIEV ranged from 1.46 to 4.05mm, with the average value of 2.33±0.71mm. The length of SIEV ranged from 4.03 to 8.42cm, with the average value of 5.45±1.2cm. For those with absence or hypogenesis of SIEA, the longer and larger ascending branches of the superficial circumflex iliac artery system could be identified.　Conclusions　Considering its reliable blood supply, sufficient transfer area, and the slight donor site damage, the superficial inferior epigastric artery flap can be applied to reconstruct head and neck defects.

Key words: Superficial inferior epigastric artery (SIEA), Surgery flap, Applied anatomy, Repair of head and neck defect

中图分类号:

王晓敏, 马士崟, 张　凯, 孟中华. 腹壁浅动脉皮瓣的应用解剖及其在头颈部修复中的意义[J]. 中国临床解剖学杂志, 2011, 29(4): 378-381.

WANG Xiao-Min, MA Shi-Yin, ZHANG 　Kai, MENG Zhong-Hua. Applied anatomy of the superficial inferior epigastric artery flap and its clinical significance in repairing head and neck defect[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(4): 378-381.

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