Papanastasiou V W, Lalonde D H, Williams H B
Ann Plast Surg. 1984 Nov;13(5):375-82. doi: 10.1097/00000637-198411000-00004.
Previous reports have stressed the importance of the nutrient blood supply in rib grafts transferred by microvascular anastomoses. In the present experimental study, we have demonstrated that a rib graft transferred by microvascular anastomoses based on periosteal vessels can survive; vascular clearing studies demonstrated that the vascularity of these grafts extends not only into the cortex but the medulla as well. The relative facility of harvesting these grafts (compared with those based on nutrient vessels) should make them the favored choice. Technetium bone scintigraphy proved accurate in the assessment of both vascular pattern and microanastomotic patency. Tetracycline labeling did not correlate well with the patency of a rib graft's pedicle blood supply.
先前的报告强调了通过微血管吻合术转移的肋骨移植物中营养血液供应的重要性。在本实验研究中，我们已经证明，基于骨膜血管通过微血管吻合术转移的肋骨移植物能够存活；血管清除研究表明，这些移植物的血管不仅延伸至皮质，还延伸至髓质。与基于滋养血管的移植物相比，获取这些移植物相对容易，这应使其成为首选。锝骨闪烁显像在评估血管模式和微血管吻合通畅性方面被证明是准确的。四环素标记与肋骨移植物蒂部血液供应的通畅性相关性不佳。
