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Zhonghua Zheng Xing Wai Ke Za Zhi ; 28(2): 101-4, 2012 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-22737933

RESUMO

OBJECTIVE: To offer both the accurate three-dimensional anatomical information and algorithmic morphology of perforators in the lower leg for perforator flaps design. METHODS: The cadaver was injected with a modified lead oxide-gelatin mixture. Radiography was first performed and the images were analyzed using the software Photoshop and Scion Image. Then spiral CT scan was also performed and 3-dimensional images were reconstructed with MIMICS 10.01 software. RESULTS: There are (27 +/- 4) perforators whose outer diameter > or = 0.5 mm ( average, 0.8 +/- 0.2 mm). The average pedicle length within the superficial fascia is (37.3 +/- 18.6) mm. The average supplied area of each perforator is (49.5 +/- 25.5) cm2. The three-dimensional model displayed accurate morphology structure and three-dimensional distribution of the perforator-to- perforator and perforator-to-source artery. CONCLUSIONS: The 3D reconstruction model can clearly show the geometric, local details and three-dimensional distribution. It is a considerable method for the study of morphological characteristics of the individual perforators in human calf and preoperative planning of the perforator flap.


Assuntos
Processamento de Imagem Assistida por Computador/métodos , Perna (Membro)/irrigação sanguínea , Retalho Perfurante/irrigação sanguínea , Artérias , Cadáver , Humanos , Imageamento Tridimensional , Retalhos Cirúrgicos
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