【摘要】 在15具防腐的成人尸体上观测双侧前锯肌的位置、形态、血供和神经支配,左侧前锯肌作转位模拟试验.证实前锯肌下部可提供长为12.7±1.2cm的“(?)”形肌瓣,面积可覆盖心脏的前面和右心室侧面,足以弥补左背阔肌在全包心脏的心肌成形术中,因长度不足而形成的缺口.提出:“带蒂前锯肌——背阔肌联合转位心肌成形术”这一新术式供临床参考.手术模拟试验的结果表明,用前锯肌和背阔肌瓣联合包卷心脏,具有在同一手术区内截取肌瓣,两肌的(血管)神经蒂经过同一个胸壁窗口,可共用脉冲发生器的同一对电极等优点,但需将营养肌瓣的动脉与胸廓内动脉末端吻接.更多还原

【Abstract】 On 15 adult cavaders both left and light anterior serratus muscle were dissected. By transposition, The lower part of the left anterior serratus muscle can provide a " " flap with a longth of 12. 7cm, the size of the flap can cover the front of the heart and the right side of the right ventricle. It is enough to make up the shortage which caused by latissimus dorsi rnusele flap in cardiomyoplasty and a new operating method is designed by using both anterior serratus and latissimus dorsi flap to wrap the heart.更多还原