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腹壁浅动脉皮瓣的应用解剖及其在头颈部修复中的意义
引用本文: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
作者姓名:王晓敏  马士崟  张凯  孟中华
作者单位: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
基金项目:安徽省卫生厅临床医学应用技术项目(2008B016)
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  
收稿时间:2010-08-10

Applied anatomy of the superficial inferior epigastric artery flap and its clinical significance in repairing head and neck defect
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
Authors:WANG Xiao-min  MA Shi-yin  ZHANG kai  MENG Zhong-hua
Affiliation:1.Department of Oral and Maxillofacial Surgery, 2.Department of Otorhinolaryngology, the First Affiliated Hospital, Bengbu Medical College, Bengbu 233000, China
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%).Th...
Keywords:Superficial inferior epigastric artery(SIEA)  Surgery flap  Applied anatomy  Repair of head and neck defect  
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