腋窝穿支皮瓣的解剖和外科基础

Q4 Medicine
Liliana Scarpinelli, Santiago Goñi
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引用次数: 0

摘要

和次外象限;其中12条,从腋窝动脉为直系分支;其中6例来自侧支动脉,4例来自胸外侧动脉,2例来自胸背动脉。用多普勒血流法对30例志愿者腋下动脉进行血流测量,发现腋下动脉在内下、外上位置较多,其中7例行重建手术,解剖长度达到3 ~ 4cm;因此,我们无法观察到这些血管的起源。结论。CPA是非常有用的严重疤痕后遗症由于烧伤在胸部和上肢。圆顶腋窝解剖在很大程度上尊重它在这些患者中,作为供体部位存在的90%的情况下,作为其他皮瓣的优势。虽然没有必要解剖穿支的起源,但知道它的起源提供了更大的安全性,因为烧伤组织不尊重正常的解剖结构。我们的研究在标记和发现穿支方面提供了更高的精度,以加速其剥离,获得更长的蒂以到达更远的区域并取代更大的组织表面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bases anatomicas y quirúrgicas del colgajo de perforante axilar
and inferior external quadrants; 12 of them, rice from axillar artery as direct branches; 6 of them, rice from collateral arteries: 4 from lateral thoracic artery, and 2 from thoracodorsal artery. Using doppler flowmetry in 30 axilas from volunteer people, we found more arteries at internal-inferior and external-superior localizations Finally, in 7 cases operated on with reconstructive surgery, the dissections rea - ched 3-4 cm length; as a result, we could not observe the origin of the vessels. Conclusions . The CPA is very useful in severe scar sequels due to burns in the chest and upper limb. The dome axillary anatomy respects it to a great extent in these patients, functioning as a donor site present in 90% of cases as an advantage over other flaps. Although it is not necessary to dissect to the origin of the perforator, knowing its origin provides greater security since the burned tissue does not respect normal anatomy. Our study provides greater precision in the marking and finding of perforators to accelerate their dissection, obtain a longer pedicle to reach distant areas and replace a larger tissue surface.
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
0
审稿时长
20 weeks
期刊介绍: Su área de interés científico abarca todo el amplio campo de la Cirugía Plástica, Estética y Reparadora, Quemados, Microcirugía, Cirugía infantil, Cirugía de la mano, Cirugía de la extremidad inferior, Cirugía máxilofacial, Cirugía craneofacial, Cirugía del cambio de sexo, Trasplante e injertos de grasa, Trasplante y reimplante de miembros, Cirugía de reconstrucción oncológica, Cirugía de las malformaciones congénitas, Cirugía del melanoma. Su contenido se publica en forma de artículos originales, casos clínicos, trabajos experimentales y revisiones bibliográficas. Cuenta también con comentarios de especialistas de prestigio reconocido en el área en aquellos artículos de especial interés y el aliciente añadido de conceder al autor capacidad de respuesta a ese comentario, lo que suscita interesantes diálogos y controversias que ayudan a los lectores a despejar dudas y ampliar conocimientos.
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