Morris S F, MacGill K A, Taylor G I
Department of Plastic and Reconstructive Surgery, Royal Melbourne Hospital, Australia.
Br J Plast Surg. 1992 Apr;45(3):187-92. doi: 10.1016/0007-1226(92)90074-8.
A successful clinical case of scalp replantation is presented where a suitable artery could not be identified in the amputated part. Reperfusion of the flap was achieved by an arteriovenous inflow anastomosis and a conventional venous anastomosis for drainage. The aesthetic and physiological success of this case suggests that arteriovenous scalp replantation is a potential avenue for treatment where arterio-arterial repair is not possible. The possible explanation for the success in this patient is the paucity of valves that exist in the venous network of the scalp and forehead, noted in our previous anatomical studies. Knowledge of the replanted tissue venous architecture provides an anatomical basis to understand the potential limitations of arteriovenous replantation.
本文介绍了一例成功的头皮再植临床病例，该病例中在离断部分无法找到合适的动脉。通过动静脉流入吻合和常规静脉吻合引流实现了皮瓣再灌注。该病例在美学和生理方面的成功表明，在无法进行动脉对动脉修复的情况下，动静脉头皮再植是一种潜在的治疗途径。该患者成功的可能原因是我们之前的解剖学研究中发现，头皮和前额静脉网络中瓣膜较少。了解再植组织的静脉结构为理解动静脉再植的潜在局限性提供了解剖学基础。
