摘要
对26例52侧尸体进行了解剖学观察,结果证明,颈横动脉的血流可经吻合支反向灌入旋肩胛动脉及肋间后动脉,足以滋养在颈肩背区形成的轴型皮瓣。临床用以修复颈部瘢痕挛缩畸形20例,其中1例应用双侧颈肩背皮瓣一次手术修复。除4例皮瓣的尖端发生血运障碍外,余均全部成活。
The anatomy of the transverse cervical artery and its branches were studied on 52 arteries in 26 cadavers.It was confirmed that blood in the transverse cervi- cal artery might flow reversely into the suprascapular artery and the posterior intercostal perforators through anastomic branches.An axial skin flap in the cervico-scapulo-dorsal area could be adequately supplied by this artery.We have used this flap in reconstruction for burn scar contractures of the neck in 20 cases,and in one patient bilateral flaps were used.There was partial necrosis of the tip in 4 flaps,while all others survived completly.
关键词
颈横动脉
轴型皮瓣
颈肩背区皮瓣
皮瓣移植
The transverse cervical artery
Axial flap
Cervico-scapulo-dorsal flap
