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头静脉:在游离腹直肌肌皮瓣乳房重建中的应用。附12例报告。

The cephalic vein: an aid in free TRAM flap breast reconstruction. Report of 12 cases.

作者信息

Barnett G R, Carlisle I R, Gianoutsos M P

机构信息

Department of Plastic Surgery, Preston and Northcote Community Hospital, Melbourne, Australia.

出版信息

Plast Reconstr Surg. 1996 Jan;97(1):71-6; discussion 77-8. doi: 10.1097/00006534-199601000-00011.

Abstract

The harvesting of the cephalic vein is a simple and effective technique for providing or augmenting venous drainage in free TRAM flap breast reconstruction. It may be divided distally and rotated about the infraclavicular fossa as a cephalic vein transfer or used as a source of free vein grafts. It is easily harvested with minimal morbidity. Its anatomy, surgical technique, indications, and results of use are discussed. In some circumstances, a cephalic vein transfer may allow greater areas of the free TRAM flap to be used more safely. This is discussed.

摘要

在游离横腹直肌肌皮瓣乳房重建术中,头静脉的获取是一种简单有效的技术,可用于提供或增加静脉引流。它可在远端进行分割,并围绕锁骨下窝旋转作为头静脉转移,或用作游离静脉移植物的来源。其获取容易,并发症极少。本文讨论了其解剖结构、手术技术、适应证及使用结果。在某些情况下,头静脉转移可使游离横腹直肌肌皮瓣的更大区域更安全地使用。对此进行了讨论。

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