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对33侧(成人30,儿童3)侧胸皮瓣的血管来源、分型、口径、体表投影及各皮动脉在皮瓣内吻合情况等进行了调查,主要结果为:1.依皮瓣内皮动脉的支数分为四型,一支型占51.51％±8.70,二支型占27.27％±7.75,三支型占15.15％±6.24,四支型占6.06％±4.15。2.侧胸部大皮动脉可来源于肱动脉、胸外侧动脉、腋动脉、胸背动脉、肩胛下动脉或胸肩峰动脉,起端口径在1.23～1.75毫米之间。胸腹壁静脉为皮瓣区的主要皮静脉,注入胸外侧静脉,末端口径为3.35±0.42毫米。3.侧胸皮瓣内,各皮动脉间有丰富的吻合。在动脉造影的X线照片中,可见皮动脉分支间吻合成血管网,遍布整个皮瓣。4.讨论了侧胸皮瓣的血管及侧胸皮瓣的应用,提出了切口部位及寻找皮动脉的标志等。
The vascular origin, classification, caliber, body surface projection and the anastomosis of each dermal artery in the flaps of 33 side (adult 30, children 3) side thoracic flaps were investigated. The main results are as follows: 1. The number of endothelial artery was divided into four types, one type accounted for 51.51% ± 8.70, the second branch accounted for 27.27% ± 7.75, three branches accounted for 15.15% ± 6.24, four branches accounted for 6.06% ± 4.15.2. Great skin artery can be derived from the brachial artery, lateral thoracic artery, axillary artery, thoracodorsal artery, subscapular artery or thoracic artery, diameter at the beginning of 1.23 to 1.75 mm. The thoracoabdominal wall veins are the main skin veins of the flap area and are injected into the lateral thoracic veins. The diameter of the distal end is 3.35 ± 0.42 mm. 3. Side of the chest flap, the skin arteries have a rich anastomosis. In the arteriography of the X-ray photographs, showing the anastomosis between branches of the dermal artery vascular network, throughout the entire flap. Discussed the application of the lateral thoracic flap blood vessels and lateral thoracic flap, proposed the incision site and the sign of looking for the dermal artery.