Mori R
Nihon Seikeigeka Gakkai Zasshi. 1987 Apr;61(4):325-35.
Reid and Biemer in 1983 introduced the reverse flow forearm flap and Yoshimura in 1984 reported the reverse flow peroneal flap. No problems were experienced in any of our cases by drainage from valves of the concomitant veins. From our experiments on one cadaver and eight freshly amputated limbs the following comments may be made about the mechanism of drainage in reverse flow in the concomitant vein: Each concomitant vein has many anastomoses and there are resulting by-passes which go around the valves. For that reason, the reflux does not always occur in all valves. It is believed that special valves only in certain parts of the vein are triggered to open when there is a 90-100 cm H2O pressure and at that time reflux occurs.
1983年,里德和比默引入了反流前臂皮瓣,1984年,吉村报道了反流腓骨皮瓣。在我们所有的病例中,伴行静脉瓣膜引流均未出现问题。通过对一具尸体和八只新鲜截肢肢体的实验,我们对伴行静脉反流引流机制可作如下评论:每条伴行静脉都有许多吻合支,从而形成绕过瓣膜的旁路。因此,并非所有瓣膜都会出现反流。据信,只有静脉特定部位的特殊瓣膜在90 - 100厘米水柱压力时才会触发打开,此时会发生反流。