С учетом ангиосомного подхода изучена микроциркуляция кожи у 46 условно здоровых людей методом лазерной допплеровской визуализации. В результате были установлены нормальные показатели микроциркуляции кожи человека. Полученные результаты позволят использовать наиболее хорошо васкуляризированные участки кожи для пластики на сосудистой ножке.
Ключевые слова: ангиосомная теория — микроциркуляция кожи — лазерная допплеровская визуализация.
Yu. V. Novikov, A. A. Fomin, D. R. Pershakov Yaroslavl State Medical Academy, Health Ministry of Russian Federation, Yaroslavl, Russia
By means of laser Doppler imaging skin microcirculation in 46 relatively healthy people was examined according angiosomes theory. As the result we set normal parameters of human skin microcirculation. Obtained results allow to use the most well-vascularized skin fl aps for plastic surgery.
Key words: angiosome theory — skin microcirculation — laser Doppler imaging.
Список исп. литературыСкрыть список1. Taylor G. I., Palmer J. H. The vascular territories (angiosomes) of the body: experimental study and clinical applications // Br. J. Plast. Surg. — 1987. — Vol. 40, № 2. — Р. 113–141.
2. Taylor G. I., Caddy C. M., Watterson P. A., Crock J. G. The venous territories (venosomes) of the human body: experimental study and clinical implications // Plast. Reconstr. Surg. — 1990. — Vol. 86, № 2. — Р. 185–213.
3. Suami H., Taylor G. I., Pan W. R. Angiosome territories of the nerves of the lower limbs // Plast. Reconstr. Surg. — 2003. — Vol. 112, № 7. — Р. 1790–1798.
4. Rozen W. M., Grinsell D., Koshima I., Ashton M. W. Dominance between angiosome and perforator territories: a new anatomical model for the design of perforator flaps // J. Reconst. Microsurg. — 2010. — Vol. 26, № 8. — Р. 539–545.
5. Schierle C. F., Rawlani v. , Galiano R. D. et al. Improving outcomes of the distally based hemisoleus flap: principles of angiosomes in flap design // Plast. Reconstr. Surg. — 2009. — Vol. 123, № 6. — Р. 1748–1754.
6. Taylor G. I., Pan W. R. Angiosomes of the leg: anatomic study and clinical implications // Plast. Reconstr. Surg. — 1998. — Vol. 102, № 3. — Р. 599–616 (discussion: Р. 617–618).
7. Manojlovic R., Milisavljević M., Tabaković D. et al. Angiosome of the fibular artery as anatomic basis for free composite fibular flap // Srp. Arh. Celok. Lek. — 2007. — Vol. 135, № 3–4. — Р. 174–178.
8. Alexandrescu v. , Hubermont G. Primary infragenicular angioplasty for diabetic neuroischemic foot ulcers following the angiosome distribution: a new paradigm for the vascular interventionist? // Diabetes Metab. Syndr. Obes. — 2011. — Vol. 4. — Р. 327–336.
9. Attinger C. E., Evans K. K., Bulan E. et al. Angiosomes of the foot and ankle and clinical implications for limb salvage: reconstruction, incisions, and revascularization // Plast. Reconstr. Surg. — 2006. — Vol. 117 (Suppl 7). — 61S-293S.
10. Kappler U. A., Constantinescu M. A., Büchler U., Vögelin E. Anatomy of the proximal cutaneous perforator vessels of the gracilis muscle // Br. J. Plast. Surg. — 2005. — Vol. 58. № 4. — Р. 445–448.
11. Greco F., Ragucci M., Liuzzi R. et al. Repeatability, Reproducibility and Standardisation of a Laser Doppler Imaging Technique for the Evaluation of Normal Mouse Hindlimb Perfusion // Sensors. — 2013. — Vol. 13. — Р. 500–515.
12. Pan W. R., Taylor G. I. The angiosomes of the thigh and buttock // Plast. Reconstr. Surg. — 2009. — Vol. 123, № 1. — Р. 236–249.
13. Taylor G. I. The angiosomes of the body and their supply to perforator flaps // Clin. Plast. Surg. — 2003. — Vol. 30, № 3. — Р. 331–342.
