真皮下血管网皮瓣血供重建的实验研究及临床应用  

Experimental study of blood supply reconstruction and clinical application of subdermal vascular network skin flap.

作　　者：肖敏勤[1,2,3] 赵亚南[1,2,3] 段体武 代荣琴[1,2,3] 周起敬 曾河[1,2,3] 赵宇 代晓明[1,2,3] 

机构地区：[1]昆明医学院第二附属医院 [2]云南省烧伤研究中心 [3]大理医学院附属医院

出　　处：《云南医药》1997年第6期410-412,共3页Medicine and Pharmacy of Yunnan

基　　金：云南省科委应用基础基金

摘　　要：目的：动态观察真皮下血管网皮瓣血供重建过程以确定提早断蒂的时机。方法：以猪为实验模型，采用ｒ照相机观察皮瓣核素分布及测定皮瓣内核素清除率等技术，动态观察皮瓣血供重建与对蒂部的供血范围。结果：随意型真皮下血管网皮瓣的血供来自三个方面，即蒂部供血，创面基底与创缘周边，单纯蒂部供血不足以使皮瓣远端超比例部分成活。结论：真皮下血管网皮瓣术后７天基本完成血供重建，７天断蒂是可行的。临床应用１２例，效果满意。The skin flaps on the back of piglets were taken as experimental pattern. The isotope distribution and clearance in the skin flap were determioned by r-camera. This study demonstrated that the blood supply of subdermal vascular network skin flap came from its pedical, wounds and edges. The distal portion of super-rate flap with subdermal vascular network failed to survive if only by its pedical blood supply. The blood supply reconstruction was finished on 7th days postoperation. 

关 键 词：真皮下血管网 皮瓣 皮肤移植 

分 类 号：R622.1[医药卫生—整形外科]