Zhang H M, Yan Y P, Sun G C, Hum H X, Liu Z F, Feng Y J
Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China.
Plast Reconstr Surg. 2000 Dec;106(7):1555-65. doi: 10.1097/00006534-200012000-00017.
The purpose of this study was to systematically provide anatomic data for flap research in plastic surgery on the cutaneous blood vessels. Seven scent pigs used in this study were killed anesthetically, and their carotid vessels were intubated and injected with a black liquid rubber. Twenty-four hours later, the integument of the scent pig was removed, and the perforating points of the cutaneous vessels were recorded. The different-sized pieces of integument became transparent. Part of this transparent skin tissue was cut into cross-sectional strips. There were three types of the cutaneous vascular source, the same as in humans. Six division levels of vessels in the skin were identified, which formed five vascular plexuses and two systems (the perforating vessel system and the cutaneous vessel system). There were two sets of vein systems: the concomitant vein and the oscillating vein; the latter can be divided into regular and irregular types. The structures of the perforating vessel system and the cutaneous vessel system were the morphological basis for choosing flaps. Two anatomic points have been emphasized: the preserved vascular plexus in thin flaps (not the subcutaneous vascular network reported previously) and the dependency of vascular structure on its location. Otherwise, this study has also provided two new kinds of flaps used in experimental study: the arterial loop flap and the intermuscular septal perforator flap. Although there were differences as well as similarities in skin vasculature between humans and the scent pig, the scent pig is still suitable for flap research.
本研究的目的是系统地提供整形外科皮瓣研究中有关皮肤血管的解剖学数据。本研究中使用的七只香猪经麻醉后处死,将其颈动脉插管并注入黑色液态橡胶。24小时后,去除香猪的外皮,记录皮肤血管的穿支点。不同大小的外皮变得透明。将部分透明皮肤组织切成横断面条带。皮肤血管来源有三种类型,与人类相同。确定了皮肤中血管的六个分支水平,它们形成了五个血管丛和两个系统(穿支血管系统和皮肤血管系统)。有两组静脉系统:伴行静脉和振荡静脉;后者可分为规则型和不规则型。穿支血管系统和皮肤血管系统的结构是选择皮瓣的形态学基础。强调了两个解剖学要点:薄皮瓣中保留的血管丛(而非先前报道的皮下血管网)以及血管结构对其位置的依赖性。此外,本研究还提供了两种用于实验研究的新型皮瓣:动脉袢皮瓣和肌间隔穿支皮瓣。尽管人类和香猪的皮肤血管存在差异和相似之处,但香猪仍适用于皮瓣研究。