T形动脉蒂游离背阔肌肌皮瓣移植术  

The transplantation of latissimus dorsi flap of the base of T shape artery with the pedicle of the thoracodorsal artery

作　　者：赵猛[1] 刘家国[1] 廖有乔[1] 胡军[1] 刘东[1] 姚忠军[1] 何明武[1] 徐圣康[1] 

机构地区：[1]湖北省十堰市太和医院创伤骨科,十堰442000

出　　处：《中华整形外科杂志》2003年第2期104-106,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨T形胸背动脉蒂游离背阔肌肌皮瓣修复前臂、小腿等创面的可行性。方法　设计以肩胛下动脉至旋肩胛动脉为短臂的T形胸背动脉蒂背阔肌肌皮瓣 ,将短臂嵌于剪断的受区动脉断端间 ,分别与远近端吻合。从而既保证了游离肌皮瓣的血供 ,又重建了受区主要动脉的连续性。结果　 1999年 10月～ 2 0 0 1年 12月 ,临床应用 16例 ,背阔肌肌皮瓣完全成活 15例 ,大部分成活 1例 ,受区肢体的血供良好。结论　T形动脉蒂游离背阔肌肌皮瓣移植术是修复前臂、小腿深度皮肤软组织缺损的一种较好的方法。Objective To explore the possibility that the free latissimus dorsi musculo-cutaneous flap to repair the forearm leg wound. Methods To design latissimus dorsi musculo-cutaneous flap which is foundation on T form thoracodorsal artery stalk. To set the short arm into the receiver artery break and anastomos them . It is not only reassure the blood of free musculo-cutaneous flap , but also reconstruct the continuation of the receiver main artey. Results In 16 patients, 15 patients success completely, 1 patient main success. The blood supply of receiver is adequate. Conclusions The free T form thoracodorsal artery stalk musculo-cutaneous flap free grafting is a good method to repair the skin and soft tissues defection of forearm and leg. ;

关 键 词：T形动脉蒂 背阔肌肌皮瓣 游离移植术 

分 类 号：R622.1[医药卫生—整形外科]