Anatomie vasculaire lambeaux

8/9/2019 Anatomie vasculaire lambeaux

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Gfgtkcmj bj ag puapj jt

gfgtkcmj vgsnuagmrj bj agcgmf jt bjs bkmits


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G qukm sjrt ufj puapj ;

• ^jfsmlmamtí ( bjs lrjs

fjrvjusjs skft sjfsmtmvjs)

!

Ag puapj jst a”kjma bj ag cgmf• Rkundjr (prmsjs)

! ^tglmamtí nutgfíj, skupajssj

Xuapj bj nkftrjlgssmstj

http://localhost/Users/SOSMains/Pictures/images_janv2011/main_doigts_juin09/Inclasse%CC%81s_main/3191-2%20eczema%20sur%20greffe


3/46

• Jpgmssj

• ^tglaj

• ^jfsmlaj

• Mfbkakrj

Cgms pgs

trkp !

Nkccjft bkmt-àtrj ag puapj ;


4/46

Jst-nj quj tkutjs ajs puapjs skft mbjftmqujs ;

• Kum, sur aj pagf gfgtkcmquj


5/46

• Ajs puapjs skft bmeeírjftjs sur aj

pagf ekfntmkffja


6/46

Gfgtkcmj bj ag puapj

• Ag puapj f”jst qu”ufj pgrtmj bj ag

tjrcmfgmskf bu bkmit

sndícg

mfnkcpajt, ma

cgfquj ajs

sjptg. ufjpuapj

irgmssjusj

sjrgmt

mfstglaj


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• 7 pdgagfij kssjusj 3 aj suppkrt


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• Ajs amigcjfts jt strunturjs lrjusjs


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• Ag puapj jst nakmskffíj pgr bj

fkclrjux «

sjptg

¿, bjs lrjsnkaagiäfjs tjfbujs nkccj ajs nkrbjs

b”uf pgrgndutj rjamgft ag pjgu è a”ks jt

ekrcgft bjs ngvmtís rjcpamjs bj irgmssj

jt agmssjft pgssjr ajs vgmssjgux/fjres


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• Jpmbjrcj 8,9-8,= cc b”ípgmssjur

• Akfiujur0


12/46

Gfgtkcmj ekfntmkffjaaj bj ag puapjprkxmcgaj (Xam MXB-lkrb prkxmcga bj ag

dkuppj)

• Xaus ípgmssj jt paus cklmaj quj ag pgrtmj

bmstgaj

• Cgmftjfuj agtírgajcjft pgr aj amigcjft

bj Eamft - zkfj «cíngfmquj¿ bjprídjfsmkf


13/46

Gfgtkcmj ekfntmkffjaaj bj ag puapj bmstgaj

• Xgrtmj bmstgaj bmvmsíj jf nkcpgrtmcjfts

pgr bjs sjptg - zkfj bj sjfsmlmamtí


14/46

Ag vgsnuagrmsgtmkf è agcgmf jt gux bkmits


15/46

Egnj pgacgmrj0bjux grtärjs

ekrcgftpausmjurs

grngbjsgfgstkcktmqujs


16/46

• Ekrcíj pgr a”ufmkf bj

a”grtärj rgbmgaj jt bu rgcjgu

pgacgmrj prkekfb bj a”grt

uafgmrj.

Grngbj pgacgmrj prkekfbj


17/46

Grngbj pgacgmrj prkekfbj

• Bkffj a”grtärj pkaamnms

prmfnjps, > grtärjs

cítgngrpmjffjs pgacgmrjs, ajs

lrgfndjs pjrekrgftj pgacgmrjs,ajs lrgfndjs rínurrjftjs

pgacgmrjs.


18/46

• Ekrcíj pgr a”ufmkf bj a”grtärj

uafgmrj jt bu rgcjgupgacgmrj supjrnmja

• Bkffj > grtärjs bmimtgajs

pgacgmrjs nkccufjs jt

a”grtärj bmimtgaj pgacgmrj

prkprj cíbmgaj bj B:

Grngbj pgacgmrj supjrnmjaaj


19/46

Gfgstkcksjs mfnkfstgftjs jftrj ajsbjux rísjgux

• Mfnmbjfnj bj ag pjrtj bj ag cgmf

gpräs amigturjs grtírmjaajs0

• G \gbmgaj 3 :,7%, G Zafgmrj 3

7.5% (BjLgojy,


20/46

Aj tjst b”Gaajf f”jst pgs qu”ufj nurmksmtí sícmkakimquj


21/46

Grngbj bkrsgaj bu ngrpj

• Ekrcíj pgr a”ufmkf bjs

rgcjgux ngrpmjfs bkrsgux

cíbmga jt agtírga• Bkffj ajs grtärjs

cítgngrpmjffjs bkrsgajs < è

: qum bkffjft ajs grtärjsbmimtgajs bkrsgajs

• A”grtärj bkrsgaj cíbmgaj bj

B:


22/46

Ajs grtärjs mftjrcítgngrpmjffjs bkrsgajs

• ^j bmvmsjft pkur

mrrmiujr ag egnj

bkrsgaj bj ag

prjcmärj pdgagfij

sjuajcjft +++


23/46

Ugsnuagrmsgtmkf bmimtgaj


24/46

G ag lgsj bu bkmit

• Gfgstkcksjs jftrj ajs lrgfndjs tjrcmfgajs

bjs grngbjs prkekfbj

jt supjrnmjaaj


25/46

G ag lgsj bu bkmit

• Gfgstkcksj jftrj ajs lrgfndjstjrcmfgajs bj a”grngbj prkekfbj jt njaajs

bu rísjgu bkrsga

C

X7 X< X>


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Bkmits akfis

• Zf píbmnuaj bj ndgquj nòtí

• Fjre jf gvgft bj a”grtärj


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• Ajs bjux grtärjs skft rjamíjs pgr bjs

lrgfndjs trgfsvjrsgajs, rítrk-

tjfbmfjusjs gu nka bj X7 jt X<

• Ekrcgtmkf bjs vmfnuag

• Xkmft bj xmtí grtírmjaaj


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Gfgtkcmj


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Bgfs 78 % bjs ngs

Mfbjx (pjgu pgacgmrj)Gurmnuagmrj

Ma cgfquj aglrgfndjrgbmgaj

(mfbjx) kuuafgmrj(gurmnuagmrj)


30/46

Ajs grtärjs bmimtgajs

• Jfvkmjft bj fkclrjusjs lrgfndjs

bkrsgajs, rígamsgft uf ejumaagij

gfgstkcktmquj


31/46

Ag vgsnuagrmsgtmkf bkrsgaj

• Ugrmglaj

• Rräs skuvjft bjuxgrtärjs gvgft jt bjux

grtärjs gpräs a”MXX (pkmft

pmvkt bj rígamsgtmkf bjfkclrjux agcljgux)

Lrgig bg ^mavg @. Gfgtkcmnga lgsms ke bkrsga

fijr somf nkvjr. Rjnd dgfb ^uri


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\gppja bj a”gfgtkcmj


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7. Grndj cítgngrpmjffj.Lrgfndjs nutgfíjs pjrekrgftjs mssujs bj a”grtärj cítgngrpmjffj

2.Lrgfndjs pjrekrgftjs bkrsgajs mssujs bj a”grtärj bmimtgaj

:.Grngbj pgacgmrj prkekfbj

5.Grngbj pgacgmrj supjrnmjaaj9.Grtärj cítgngrpmjffj pgacgmrj

4.Grtärj bmimtgaj

=.Gfgstkcksj prkxmcgaj nkccmssurgaj

78.Gfgstkcksj bmstgaj nkrsk-pgacgmrj

77.Grtärj bmimtgaj

7


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Aj pkunj

• Ugsnuagrmsgtmkf bmeeírjftjjt mfbípjfbgftj jftrj aj

rísjgu pgacgmrj jt bkrsga

• Agcljgux bmeeírjfts


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Jt ag vgsnuagrmsgtmkf puapgmrj ;

• Jaaj jst ícmfjccjft vgrmglaj

• Nkccjfnj gu pam MXB pgr ufj

trmeurngtmkf aj paus skuvjft


36/46

Gfgtkcmj vgsnuagmrj bj ag puapj

• Rrmeurngtmkf grtírmjaaj gu pam MXB (ufj lrgfndj pkur aj rjpam prkxmcga, ufj pkur aj

amt bj a”kfiaj, jt ufj pkur ag puapj qum vg sj

bmvmsjr)


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Jt ajs vjmfjs

• < rísjgux0

• Xrkekfb gu nkftgnt bjs grtärjs

• ^upjrnmja, surtkut bkrsga


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G a”jxtrícmtí bu bkmit

• Ag cg`krmtí bjs vjmfjs skft bkrsgajs

• Bmstrmlutmkf fkf systícgtmsgftjs, träspjtmtjs aj paus skuvjft

• Zfj vjmfj bkrsgaj prísjftj è a”MXB bgfs

54% bjs ngs, b”uf ngamlrj 6 8,: cc bgfs=5% bjs ngs

^cmtd BK jt ga. Rdj bmstga vjfkus gfgtkcy ke tdj fijr.

@ Dgfb ^uri 7==7? 75(8>->89


41/46

Nkcptgij bjs vjmfjs è

a”ípkfyndmuc jt è a”MXB0

^juaj ag «

vjmfj bkrsgaj

¿

jst eríqujccjft prísjftj

jt bj tgmaaj suesgftj


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Ajs vjmfjs pgacgmrjs

skft bj pjtmtj tgmaaj jtträs prkndjs bj ag

pjgu bkft jaajs skft

träs bmenmajs è

bmssíqujr

Ma jxmstj bjs

gfgstkcksjs gvjn aj

rísjgu pgacgmrj (qum

rj`kmft ajs rísjguxtdífgrmjf jt

dypktdífgrmjf)

b b b b a


43/46

Ajs vjmfjs gu bks bjs bkmits jt bj agcgmf

• Ajs vjmfjs bkrsgajsnmrnuajft sur aj lkrb agtírgabjs bkmits jt skft amíjs pgr

bj fkclrjusjs lrgfndjsnkccufmngftjs

• Jaajs sj ríufmssjft pkur

ekrcjr trkms vjmfjsbkrsgajs cítgngrpmjffjsqum sj ríufmssjft è ag lgsjbu >äcj cítgngrpmjf

b b b b a


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Ajs vjmfjs gu bks bjs bkmits jt bj agcgmf

• Bj nj rísjgu pgrtjft bjs

lrgfndjs qum sj ríufmrkft

gvjn ajs lrgfndjs rgbmgajs bj

a”mfbjx jt bu pkunj pkurekrcjr ag vjmfj nípdgamquj

• Jt bjs lrgfndjs uafgmrjs qum

gpräs ag ríufmkf gvjn ag vjmfj

bmimtgaj bkrsgaj bj

a”gurmnuagmrj sj prkakfijrkft

bgfs ag lgsmamquj


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G rjtjfmr

• Ajs fkclrjusjs gfgstkcksjs jftrj aj

rísjgu pgacgmrj

• Zfj vgsnuagrmsgtmkf grtírmjaaj bkrsgaj

qum bípjfb bu rísjgu pgacgmrj gu

fmvjgu bj a”MXX• Bjs vjmfjs surtkut bkrsgajs

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Anatomie vasculaire lambeaux