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将背阔肌肌皮瓣做为一种可靠而操作简单的游离瓣已引起了人们的注意。过去,有些人将背阔肌做为带蒂瓣或带蒂岛状瓣以重建胸壁、乳房及肩部,具有独特的成效。本文总结了应用背阔肌做为带蒂岛状瓣以重建头颈部的近期经验。解剖背阔肌肌皮瓣是以肩胛下动脉的胸背血管蒂为基准,肩胛下动脉是腋动脉第三部份的一大分支(如右图)。它是一个强而短的动脉,管径约4—5毫米,向后向内走行分出旋肩胛动脉;向下走行进入背阔肌和前锯
The latissimus dorsi muscle flap as a reliable and simple operation of the free flap has attracted people's attention. In the past, some people have latissimus dorsi as pedicled or pedicled island flap to reconstruct the chest wall, breasts and shoulders, with unique benefits. This article summarizes the recent experience of using latissimus dorsi as a pedicle island flap to reconstruct the head and neck. Anatomical latissimus dorsi flap is based on the thoracodorsal pedicle of the subscapular artery, which is a major branch of the third part of the axillary artery (pictured to the right). It is a strong and short artery with a diameter of about 4-5 mm and branches back and forth into the spinous artery;