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犬背阔肌、股薄肌和腹直肌肌皮瓣的实验定义

Experimental definition of latissimus dorsi, gracilis, and rectus abdominus musculocutaneous flaps in the dog.

作者信息

Gregory C R, Gourley I M, Koblik P D, Patz J D

机构信息

Department of Surgery, School of Veterinary Medicine, University of California, Davis 95616.

出版信息

Am J Vet Res. 1988 Jun;49(6):878-84.

PMID:3400924
Abstract

Dissection and injection studies in canine cadavers and in anesthetized dogs were conducted to determine the feasibility of using the latissimus dorsi, gracilis, and rectus abdominus muscles as musculocutaneous free flaps. Lengths of vascular pedicles for the latissimus dorsi (2 +/- 0.8 cm), gracilis (1.8 +/- 0.8 cm), and rectus abdominus (1.9 +/- 0.9-cm cranial deep epigastric, 1.7 +/- 0.5-cm caudal deep epigastric), as well as arterial diameters (1.28 +/- 0.31-mm thoracodorsal for the latissimus dorsi, 1.10 +/- 0.33-mm muscular branch for the gracilis, 1.25 +/- 0.25-mm cranial deep epigastric and 1.26 +/- 0.32-mm caudal deep epigastric for the rectus abdominus) were considered satisfactory for microvascular transfer. Fluorometry demonstrated overlying cutaneous perfusion in all flaps based on their muscle vascular pedicles, with the exception of the rectus abdominus flap based on the caudal deep epigastric artery. In this instance, up to 20% of the cutaneous element had questionable or no perfusion.

摘要

在犬类尸体和麻醉犬身上进行了解剖和注射研究,以确定使用背阔肌、股薄肌和腹直肌作为游离肌皮瓣的可行性。背阔肌血管蒂长度(2±0.8厘米)、股薄肌血管蒂长度(1.8±0.8厘米)以及腹直肌血管蒂长度(腹壁上动脉颅侧支为1.9±0.9厘米,腹壁下动脉尾侧支为1.7±0.5厘米),以及动脉直径(背阔肌的胸背动脉为1.28±0.31毫米,股薄肌的肌支为1.10±0.33毫米,腹直肌的腹壁上动脉为1.25±0.25毫米,腹壁下动脉为1.26±0.32毫米),被认为对于微血管转移是令人满意的。荧光测定法显示,除了以腹壁下动脉为蒂的腹直肌皮瓣外,所有皮瓣基于其肌肉血管蒂均有覆盖皮肤灌注。在这种情况下,高达20%的皮肤部分灌注可疑或无灌注。

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