Characteristics of CTA images of anterolateral thigh flap perforators and its source artery: CT-angiography study
XIANG Yang, GAO Jian-ming, XIA Yun-bao, CHENG Wei-nan, XIA Xiao-liang, WANG Ya-dong, ZHANG Liang
Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (5) : 499-503.
Characteristics of CTA images of anterolateral thigh flap perforators and its source artery: CT-angiography study
Objective To study the characteristics of CT-angiographic images of the anterolateral thigh perforators and its source arteries ,in order to guide individual design of the anterolateral thigh perforator flap. Methods CTA data of 28 adult lower limbs were collected and three-dimensional images were reconstructed by ADW 4.6 workstation for observation, including the number, course, and location of the perforators at the deep fascia level and the course, length, and caliber of the source arteries were also investigated. Results Descending branch of lateral circumflex femoral artery(DB) can be classified as common trunk type (TypeⅠ, 64.2%) and non-common trunk type ( TypeⅡ, 35.8%). The total number of perforators of DB was 37. No obvious perforator were found in 3 case (10.7%), one perforator was found in 15 case (53.6%）, one perforator was found in 10 case (35.7%). The average number of TypeⅠand type Ⅱperforator count for （1.5±0.78） and（1.0±0.66）, respectively; septocutaneous perforators accounted for 37% and 40%, respectively. The caliber of the typeⅠand typeⅡDB as the primary source arteries was（1.3±0.31）mm and (1.0±0.54)mm. Conclusions CTA images have very high application value in the observation of anatomic parameter of perforators and its source artery. It can provide guidance for individual design of anterolateral thigh perforator flap.
Perforator flap / / Source artery / Computed tomography angiography / Individual design
[1] 徐达传．穿支皮瓣的研究进展[J]．遵义医学院报，2014，37(3)：235-240．
[2] 唐举玉，章伟文，张世民，等．中国特殊形式穿支皮瓣的名词术语与定义专家共识［J］．中华显微外科杂志，2013，36(2)：113-114．
[3] Shimizu F,Uehara M,Oatari M,et al. Three-dimensional visualization of the human face using DICOM data and its application to facial contouring surgery using free anterolataral thigh flap transfer［J］.Plast Reconstr Aesthet Surg, 2015,69(1):e1-4.
[4] 张德军，刘超，徐亚非，等．带阔筋膜股前外侧皮瓣修复踝部跟腱损伤软组织缺损五例[J]．中华显微外科杂志，2014，37(4)：385-386．
[5] Badiul PO,Sliesarenko SV.Multidetector-row computed tomographic angiography in the planning of the local perforator flaps［J］.Plastic and Reconstructive Surgery, 2015,3(9):e516-e525.
[6] 高建明，薛峰，夏云宝，等．MSCTA辅助穿支皮瓣移植的初步报告[J].中国临床解剖学杂志，2011，29(6)：637-640．
[7] 芮永军，张雁，杨红，等．术前不同定位方法在股前外侧穿支皮瓣应用的对比分析[J]．中华显微外科杂志，2015，38(1)：33-37．
[8] 徐达传，钟世镇，刘牧之，等．股前外侧部皮瓣的解剖学研究[J]．中国临床解剖学杂志，1984，2(3)：158-160．
[9] 杨建峰，赵振华，王伯胤，等．术前CT血管成像在股前外侧穿支皮瓣移植中的临床应用[J]．中华放射学杂志,，2012，46(10)：917-920．
[10]张世民，王欣，唐茂林，等．穿支皮瓣的当前争论与共识[J]．中国临床解剖学杂志，2013，31(6)：618-619．
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