Wijnberg D S, Ebels T, Robinson P H
Department of Plastic and Reconstructive Surgery, University Hospital, Groningen, The Netherlands.
Ann Thorac Surg. 1994 Oct;58(4):1131-4. doi: 10.1016/0003-4975(94)90471-5.
This study examined the rectus abdominis myofascial flap as an innervated flap for dynamic cardiomyoplastic purposes. It is common to use the latissimus dorsi to wrap or patch around or in the heart, but there is a need for more innervated skeletal muscle for a variety of reasons. The rectus abdominis musculature often is used for reconstructions and its vascular reliability is well known. The segmental build-up of the rectus abdominis myofascial flap, its direct proximity to the heart, and the superb quality of the anterior fascia allow for more extensive cardiomyoplastic use than with the latissimus dorsi alone. This article describes an anthropometric cadaver study in which the methods of mobilizing the rectus abdominis myofascial flap for cardiac purposes are shown.
本研究将腹直肌肌筋膜瓣作为一种带神经支配的皮瓣用于动态心肌成形术。使用背阔肌包裹心脏或在心脏周围进行修补很常见，但由于多种原因，需要更多带神经支配的骨骼肌。腹直肌肌肉组织常用于重建，其血管可靠性是众所周知的。腹直肌肌筋膜瓣的节段性构建、其与心脏的直接毗邻关系以及前筋膜的优良质量，使得其在心肌成形术中的应用比单独使用背阔肌更为广泛。本文描述了一项人体测量学尸体研究，展示了为心脏目的动员腹直肌肌筋膜瓣的方法。
