[1]张 娟,张栋梁,裴蛟淼,等. 不同断蒂时间下肌皮瓣的血运重建情况[J].中国美容医学,2019,(08):69-71.
 ZHANG Juan,ZHANG Dong-liang,PEI Jiao-miao,et al. Exploration of the Revascularization of Musculocutaneous Flaps at Different Pediclecutting Times[J].Medical Aesthetics and Beauty,2019,(08):69-71.
点击复制

 不同断蒂时间下肌皮瓣的血运重建情况
()
分享到:

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年08期
页码:
69-71
栏目:
出版日期:
2019-08-05

文章信息/Info

Title:
 Exploration of the Revascularization of Musculocutaneous Flaps at Different Pediclecutting Times
文章编号:
1008-6455(2019)08-0069-03
作者:
张 娟1张栋梁2裴蛟淼1陈 琳1余 州1宋保强1
Author(s):
ZHANG Juan1ZHANG Dong-liang2PEI Jiao-miao1CHEN Lin1YU Zhou1 SONG Bao-qiang1
关键词:
[关键词]背阔肌肌皮瓣带蒂移植血运重建断蒂时间存活率
分类号:
R329.2+8
文献标志码:
A
摘要:
[摘要]目的:以前期建立的兔背阔肌肌皮瓣带蒂移植模型,探索肌皮瓣移植术后不同时间点的血运重建情况,确定肌皮瓣移
植后最佳断蒂时间。方法:采用新西兰大耳白兔20只,一期复制背阔肌肌皮瓣带蒂移植模型,二期行断蒂术并按断蒂时间不
同分为2w组、3w组、4w组和5w组,每组5只。术后7d进行取材,观察各组肌皮瓣的大体存活情况、肌纤维及微血管密度的改
变。结果:各组间皮瓣平均存活率5w>4w>3w>2w,结果有统计学意义(P <0.05);肌纤维的形态及微血管计数结果与肌
皮瓣存活率相符。结论:肌皮瓣带蒂移植血运重建直至完全建立可能需要5w,推断其最佳断蒂时间是移植术后5w。

Abstract:

(1.Department of Plastic Surgery;2.Department of Burn,Xijing Hospital,Air Force Military Medical University,Xi’an
710032,Shaanxi,China)
Abstract: Objective To reveal optimal pedicle division time by investigating revascularization and survival rates of
musculocutaneous flaps at different time points postoperatively. This study was based on the model of pedicle latissimus
dorsi musculocutaneous flap in rabbit. Methods Twenty New Zealand white rabbits were used to replicate the pedicled
transplantation model of latissimus dorsi myocutaneous flap in stageⅠ. Stage II pedicled transection was performed and
divided into 2w group, 3w group, 4w group and 5w group according to the time of pedicle breakage, with 5 rats in each
group. The gross survival, muscle fiber and microvessel density of myocutaneous flap in each group were observed 7
days after operation. Results The average survival rate of skin flap was 5w>4w>3w>2w, the results were statistically
significant (P <0.05), and the morphology and microvessel count of muscle fiber were consistent with the survival rate of
myocutaneous flap. Conclusion The revascularization of musculocutaneous flaps completed at least 5 weeks. Therefore, the
appropriate time of musculocutaneous flap division was 5 weeks.
Key words: latissimus dorsi musculocutaneous flap; pedicle transplantation; revascularization; pedicle breaking time; survival rates

相似文献/References:

[1]寇德强,洪小兵,张 攀,等.经结膜入路眶隔脂肪不同移植方法对睑袋伴泪沟凹陷矫正的效果观察[J].中国美容医学,2023,(7):58.[doi:10.15909/j.cnki.cn61-1347/r.005767]
 KOU Deqiang,HONG Xiaobing,ZHANG Pan,et al.Observation on the Effect of Different Transplantation Methods of Orbital Septum Fat Through Conjunctival Approach on the Correction of Eyelid Pouch with Lacrimal Groove Depression[J].Medical Aesthetics and Beauty,2023,(08):58.[doi:10.15909/j.cnki.cn61-1347/r.005767]

更新日期/Last Update: 2019-08-29