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解剖9具尸体,其中5具新鲜尸体行动脉血管颜料灌注,研究18侧斜方—菱形肌岛状肌皮瓣的血供来源及分支分布,结果显示,该肌皮瓣为肩胛背动脉和颈横动脉降支的双重血供,二者共于起于甲状颈于者占67%,肩胛背动脉单独起于锁骨下动脉者占33%。临床应用该组织瓣6例,一期修复颅底及颅颌部恶性肿瘤根治性手术后的组织缺损,获较满意的效果。因此,斜方—菱形肌岛肌皮瓣是颅底及颅颌外科的一个可信赖的组织瓣。
9 autopsies were dissected from 5 fresh cadavers perfused with arterial vascular pigments to study the blood supply source and branch distribution of the 18-sided rhomboid-rhombusoid myocutaneous flaps. The results showed that the myocutaneous flaps were scapular dorsal arteries and necks. The dual blood supply of the descending branch of the transverse artery involved 67% of the thyroid necks. The dorsal scapular artery alone accounted for 33% of the subclavian artery. Clinical application of the tissue flap in 6 cases, a primary repair of skull base and craniomaxillary malignant tumors after radical surgery tissue defects, have been more satisfactory results. Therefore, the oblique-rhombus myocutaneous myocutaneous flap is a reliable tissue flap for skull base and cranio-maxillofacial surgery.