Applied anatomy of deep inferior epigastric artery posterior rectus sheath peritoneum flap
Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (1) : 16-20.
Applied anatomy of deep inferior epigastric artery posterior rectus sheath peritoneum flap
Objective To 3D reconstruct the angiosomes of the deep inferior epigastric artery (DIEA)using Mimics and CT supporting workstations, in order to provide morphological evidence for clinical application of different types of tissue flaps with the DIEA as the vascular pedicle. Methods The systemic arteriography using the mixture of lead oxide-gelatin or oxide-latex was performed on five fresh adult cadavers. ① Data serially scanned by 64 slice spiral CT were 3D modeled and analyzed in Mimics and CT supporting workstations respectively. ② The anterior abdominal walls of the five cadavers were sectioned, observed by layers dissection combined with X-ray examination. Results The DIEA distributed into musculoperitoneal branches, muscular branches, lateral branches and musculocutaneous perforators. 3 musculoperitoneal branches with the diameter≥0.5 mm, which had the same vascular pedicle with muscular branches and musculocutaneous perforators, respectively. Conclusions Different types of tissue flaps with the DIEA as the vascular pedicle, such as the musculoperitoneal flap, muscle flap, cutaneous flap and composite flap, can be harvested to reconstruct complicated defects of different parts and of various types, especially for the through and through defects reconstruction in oromaxillo-facial region.
Deep inferior epigastric artery / Angiography / 3D-visualization / Posterior rectus sheath peritoneum flap / Perforator flap
[1] Allen RJ, Treece P. Deep inferior epigastric perforator flap for breast reconstruction[J]. Ann Plast Surg, 1994，32(1): 32-38.
[2] 李赞, 肖高明, 江勃年, 等. 乳腺癌术后应用腹壁下动脉穿支皮瓣游离移植一期乳房再造的临床研究[J]. 医学临床研究, 2008，25(1): 79-81.
[3] Van den Heuvel MG, Mermans JF, Ambergen AW, et al. Perfusion of the deep inferior epigastric perforator flap measured by laser Doppler imager[J]. Ann Plast Surg, 2011，66(6): 648-653.
[4] Tindholdt TT, Saidian S, Tonseth KA. Microcirculatory evaluation of deep inferior epigastric artery perforator flaps with laser Doppler perfusion imaging in breast reconstruction[J]. J Plast Surg Hand Surg, 2011，45(3): 143-147.
[5] 陈世新, 丁茂超, 崔怀瑞, 等. 腹壁下动脉穿支皮瓣的3D可视化研究[J]. 解剖学报, 2011，42(2): 269-273.
[6] 崔怀瑞, 吴东方, 唐茂林, 等. 腹壁下动脉穿支皮瓣的应用解剖学研究[J]. 中国临床解剖学杂志, 2011，29(6): 614-618
[7] 楼新法, 梅 劲, Geddes CR, 等. 明胶-氧化铅血管造影术的优化[J]. 中国临床解剖学杂志, 2006，24(3): 259-262.
[8] Yin Z, Peng T, Ding H, et al. Three-dimensional visualization of the cutaneous angiosome using angiography[J]. Clin Anat, 2013， 26(2): 282-287.
[9] Tang M, Yin Z, Morris SF. A Pilot Study on Three-Dimensional Visualization of Perforator Flaps by Using Angiography in Cadavers[J]. Plast Reconstr Surg, 2008，122(2): 429-437.
[10] Mei J, Yin Z, Zhang J, et al. A mini pig model for visualization of perforator flap by using angiography and MIMICS[J]. Surg Radiol Anat, 2010，32(5): 477-484.
[11] 周晓, 喻建军, 李赞, 等. 应用带腹壁下动静脉的腹膜皮瓣修复面颊洞穿性缺损[J]. 组织工程与重建外科, 2008，4(2): 101-104.
[12]Hallock GG. A primer of schematics to facilitate the design of the preferred muscle perforator flaps[J]. Plast Reconstr Surg, 2009，123(3): 1107-1115.
[13] 方柏荣,王先成,乔群, 等.四维CT血管显影在腹壁下动脉穿支血管构造基础研究中的应用[J].中华整形外科杂志,2010, 26(01):29-33
[14] 陈世新, 吴东方, 丁茂超, 等. 穿支体区血管及其相互间吻合的3D可视化研究[J]. 中国临床解剖学杂志, 2011， 29(3): 237-242.
/
| 〈 |
|
〉 |
