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肋骨的功能性血管解剖结构。

The functional vascular anatomy of rib.

作者信息

Hendel P M, Hattner R S, Rodrigo J, Buncke H J

出版信息

Plast Reconstr Surg. 1982 Nov;70(5):578-87. doi: 10.1097/00006534-198211000-00009.

DOI:10.1097/00006534-198211000-00009
PMID:7122747
Abstract

The adequacy of nutrient blood supply to ribs based on the intercostal-periosteal system versus the medullary nutrient artery was investigated in six dogs containing ribs of each type. Free grafts with periosteum and without periosteum were also included. Vascularity was monitored by bone scanning and tetracycline double labeling. A preliminary study with RES scanning using sulfur colloid was also preformed. The results of this study showed (1) that no demonstrable difference in blood supply exists between rib supplied by the anterior intercostal-periosteal system versus the nutrient artery (this was seen with bone scans, tetracycline double labels, and RES scans); (2) that bone scans can differentiate between vascularized rib grafts and free rib grafts for at least the first 7 days (after 7 days, some free grafts begin to take up label); and (3) that by using bone scan, no difference in the rate of revascularization is detected between free grafts with the periosteum stripped or the periosteum intact (RES scans and tetracycline labeling were not given late enough after surgery to be incorporated in either type of nonvascularized graft).

摘要

在六只包含每种类型肋骨的狗身上,研究了基于肋间-骨膜系统与骨髓滋养动脉的肋骨营养血液供应充足情况。还包括带骨膜和不带骨膜的游离移植。通过骨扫描和四环素双重标记监测血管情况。还进行了一项使用硫胶体的RES扫描初步研究。该研究结果表明:(1)由肋间-骨膜前系统供血的肋骨与由滋养动脉供血的肋骨之间在血液供应上不存在明显差异(这在骨扫描、四环素双重标记和RES扫描中均可见);(2)骨扫描至少在最初7天内能够区分带血管的肋骨移植和游离肋骨移植(7天后,一些游离移植开始摄取标记物);(3)通过骨扫描,未检测到骨膜剥离或骨膜完整的游离移植在血管再生速率上有差异(RES扫描和四环素标记在手术后进行得不够晚,无法纳入任何一种非血管化移植类型)。

相似文献

1
The functional vascular anatomy of rib.肋骨的功能性血管解剖结构。
Plast Reconstr Surg. 1982 Nov;70(5):578-87. doi: 10.1097/00006534-198211000-00009.
2
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