Vascularization of the superficial circumflex iliac perforator flap (SCIP flap): an anatomical study
Vascularization of the superficial circumflex iliac perforator flap (SCIP flap): an anatomical study
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DOI：
10.1007/s00276-019-02402-9
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发表时间：
2020-01-02
影响因子：
1.4
通讯作者：
Duparc, F.
中科院分区：
文献类型：
--
作者：
Gandolfi, S.;Postel, F.;Duparc, F.
旋髂浅动脉穿支皮瓣（SCIP）作为局部或游离皮瓣已广泛应用于软组织缺损的修复。然而，在穿支的大小、位置和可靠性方面存在许多解剖变异。材料与方法对7具尸体进行双侧解剖，共获得14个皮瓣。测量旋髂浅动脉参数、穿支数目、长度和直径。通过半选择性注射突出相应的穿孔酶体。结果浅分支主要穿支平均口径2.0 mm，深分支主要穿支平均口径2.1 mm，平均长度1.43 mm，浅型穿支平均面积178.6 cm 2，深型穿支平均表面积156.2 cm 2。深分支降支与旋股外侧动脉升分支交叉3例。结论本解剖学研究中观察到了多种解剖变异，但总有大穿动脉供应大穿动脉体。
Introduction The superficial circumflex iliac artery perforator flap (SCIP) has gained widespread popularity as local or free flap to cover soft tissue defects. However, there are numerous anatomical variations in terms of size, location and reliability of its perforators This cadaveric study aimed to focus on the anatomical bases of this flap. Materials and methods A bilateral dissection of seven cadavers was performed to harvest 14 flaps. Superficial circumflex iliac artery parameters, number, length and diameters of perforators were measured. Correspondent perforasomes were highlighted through semi-selective injections. Results The major perforator of the superficial branch had a mean caliber of 2.0 mm, and a mean length of 1.8 mm. The major perforator of the deep branch had a mean caliber of 2.1 mm and a mean length of 1.43 mm. The mean area of the superficial pattern perforasome was 178.6 cm(2) and the mean measured surface of the deep pattern perforasome was 156.2 cm(2). The descending branches of the deep branch anastomosing with the ascending branch of the lateral circumflex femoral artery were found in three cases. Conclusion Several anatomical variations were observed in this anatomical study, but major perforators supplying large perforasomes were always found.