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犬肋骨肌瓣的应用解剖与气管成型及气管再造的实验研究

Applied anatomy of rib muscle flap and experimental study of tracheoplasty and tracheal restoration in dog

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【作者】 张旭薛景凤张朝满李汝泓林健周士杰

【Author】 Zhang Xu *,Xue Jingfeng,Zhang Chaoman,et al. *Department of Thoracic and Cardiovascular Surgery,Affiliated Hospital of Chengde Medical College,Chengde 067000

【机构】 承德医学院附属医院胸心外科承德医学院解剖学教研室

【摘要】 目的:对犬肋骨肌瓣与肌瓣环进行解剖学观察,并以此组织瓣进行气管成型与气管再造动物实验。方法:将犬的第3 肋间血管灌注后观察其分布情况。将第3 肋骨与上下肋间肌修整成带血管蒂的肋骨肌瓣、骨肌瓣环,分别行胸内气管成型与环形替代术。结果:犬的肋骨肌瓣、瓣环血供均良好。第3肋间动脉、静脉有多个分支在胸膜与骨膜之间上行分布于上位肋间肌。实验获得满意效果,气管成型手术的犬与非手术犬一样正常活动。气管再造的18 条犬中11 条犬生存已超过3 个月。结论:肋骨肌瓣、骨肌瓣环有可能用于气管成型与再造手术。

【Abstract】 To provide anatomical basis of rid muscle flap for the repair or restoration of trachea in dog.Methods:The third intercostal vessels were perfusedand observed.Rid muscle flap and ring pedicled with vessels were made of the 3rd rib and the attaching intercostal muscles,and the tracheoplasty and tracheal restoration were performed.Results:The blood supply of the graft was rich.Many branches of the 3rd intercostal artery and tributaries of the vein ran upward between the pleura and periosteum to distribute to superior intercostal muscle.The treated canines (18) were as normal as the control group,11 of which had survived for 3 months.Conclusions:Rid muscel flap and ring could be used in tracheoplasty and tracheal restoration.

【基金】 河北省卫生厅科研基金
  • 【文献出处】 中国临床解剖学杂志 ,Chinese Journal of Clinical Anatomy , 编辑部邮箱 ,2000年01期
  • 【分类号】R655.3
  • 【被引频次】5
  • 【下载频次】42
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