CAJ | 학술논문

目的为骨间后动脉皮支链皮瓣的带蒂或游离切取提供解剖学数据. 方法新鲜男尸正常上肢标本14侧,分别进行乳胶灌注显微解剖、过氯乙烯和牙托材料混合填充剂制作铸型标本、聚乙烯醇-氧化铋灌注平铺X线动脉造影3种方法研究骨间后动脉皮支的解剖形态学特点.对直径0.2 mm以上的皮支纳入统计分析. 结果 ①每侧骨间后动脉发出皮支6.2支,以尺骨小头桡侧缘到肱骨外上髁的连线为标准距离,远段皮支血管丛聚集点在21.24％的位置,包含皮支3.3支,近段皮支血管丛聚集点在47.86％位置,包含皮支2.9支.②距离尺骨茎突近端(5.82±1.22)cm,肱骨外上髁远端(10.34±0.98)cm分别有直径为(0.50±0.04) mm、蒂长(16.79±5.12) mm和直径(0.60±0.08)mm、蒂长(21.20±12.28) mm粗大皮支从骨间后动脉发出.③相邻皮支间吻合形成与骨间后动脉平行走行的血管链. 结论以骨间后动脉皮支为蒂设计的游离或者转位皮支链皮瓣有一定的临床应用价值.
목적 위골간후동맥피지련피판적대체혹유리절취제공해부학수거. 방법 신선남시정상상지표본14측,분별진행유효관주현미해부、과록을희화아탁재료혼합전충제제작주형표본、취을희순-양화필관주평포X선동맥조영3충방법연구골간후동맥피지적해부형태학특점.대직경0.2 mm이상적피지납입통계분석. 결과 ①매측골간후동맥발출피지6.2지,이척골소두뇨측연도굉골외상과적련선위표준거리,원단피지혈관총취집점재21.24％적위치,포함피지3.3지,근단피지혈관총취집점재47.86％위치,포함피지2.9지.②거리척골경돌근단(5.82±1.22)cm,굉골외상과원단(10.34±0.98)cm분별유직경위(0.50±0.04) mm、체장(16.79±5.12) mm화직경(0.60±0.08)mm、체장(21.20±12.28) mm조대피지종골간후동맥발출.③상린피지간문합형성여골간후동맥평행주행적혈관련. 결론 이골간후동맥피지위체설계적유리혹자전위피지련피판유일정적림상응용개치.
Objective To provide anatomy information for harvesting a pedicle or free posterior interosseous artery cutaneous branches-chain flaps. Methods Fourteen forearms from fresh human cadaver were used to study the anatomy characteristics of the posterior interosseous artery cutaneous branches-chain flaps with the following three methods:latex perfusion for microanatomy,denture materials and vinyl chloride mixed packing for cast,and PVA-bismuth oxide perfusion for molybdenum target X-ray arteriography.The cutaneous perforator with a diameter ≥ 0.2 mm were included for statistical analysis. Results ① There were 6.2 cutaneous branches raised from posterior interosseous artery. Measuring from the radial edge of ulnar head to the lateral epicondyle of humerus as the standard distance, the distal cutaneous branch clusters located at 21.24％ relative to the standard distance,while the proximal clusters located at 47.86％.② There were two large cutaneous perforators from the posterior interosseous artery at (5.82 ± 1.22)cm proximal to the ulnar styloid and (10.34 ±0.98)cm distal to the epicondyle of humerus.The diameter and pedicle length of the distal perforators were(0.50± 0.04)mm and (16.79 ± 5.12)mm respectively,while the proximal perforator were (0.60 ± 0.08 )mm in diameter with a pedicle (21.20 ± 12.28)mm in length.③ The vascular chains parallel to the posterior interosseous artery were formed via anastomosis of the adjacent cutaneous perforators. Conclusion There is clinical significance to use pedicle or free posterior interosseous artery cutaneous branches-chain flaps.