中国医学科学院学报
中國醫學科學院學報
중국의학과학원학보
ACTA ACADEMIAE MEDICINAE SINICAE
2010年
1期
81-84,后插6
,共5页
冯云%李文婷%王乃利%唐平章%徐震纲%张彬
馮雲%李文婷%王迺利%唐平章%徐震綱%張彬
풍운%리문정%왕내리%당평장%서진강%장빈
股前外侧穿支皮瓣%解剖%头颈修复重建
股前外側穿支皮瓣%解剖%頭頸脩複重建
고전외측천지피판%해부%두경수복중건
anterolateral thigh perforators flap%anatomy%head and neck reconstruction
目的 探讨股前外侧穿支皮瓣的解剖学基础及其在头颈修复中的临床意义.方法 解剖5具新鲜成年国人尸体,观察和测量股前外侧穿支皮瓣供血穿支的数目、类型、管径、蒂长、走行、出筋膜后轴向及源血管外径,并对其进行定位.结果 本组10侧标本中,共有44支股前外侧皮瓣穿支,平均每侧(4.4±1.8)支;其中,肌皮穿支30支(68.2%),肌间隔穿支14支(31.8%).最粗穿支蒂长平均为(10.86±1.18)cm(8.29～14.44 cm),距髂前上棘与膑骨外上端中点平均距离为(3.25±0.69)cm,主要位于该点外上部.源动脉主要为旋股外侧动脉降支.蒂动、静脉外径平均为(3.16±0.59)、(3.08±0.20)mm.结论 股前外侧穿支皮瓣穿支血管解剖位置较为恒定,穿支皮瓣制作方便,其管径及蒂长均适宜头颈肿瘤术后缺损的修复.
目的 探討股前外側穿支皮瓣的解剖學基礎及其在頭頸脩複中的臨床意義.方法 解剖5具新鮮成年國人尸體,觀察和測量股前外側穿支皮瓣供血穿支的數目、類型、管徑、蒂長、走行、齣觔膜後軸嚮及源血管外徑,併對其進行定位.結果 本組10側標本中,共有44支股前外側皮瓣穿支,平均每側(4.4±1.8)支;其中,肌皮穿支30支(68.2%),肌間隔穿支14支(31.8%).最粗穿支蒂長平均為(10.86±1.18)cm(8.29～14.44 cm),距髂前上棘與臏骨外上耑中點平均距離為(3.25±0.69)cm,主要位于該點外上部.源動脈主要為鏇股外側動脈降支.蒂動、靜脈外徑平均為(3.16±0.59)、(3.08±0.20)mm.結論 股前外側穿支皮瓣穿支血管解剖位置較為恆定,穿支皮瓣製作方便,其管徑及蒂長均適宜頭頸腫瘤術後缺損的脩複.
목적 탐토고전외측천지피판적해부학기출급기재두경수복중적림상의의.방법 해부5구신선성년국인시체,관찰화측량고전외측천지피판공혈천지적수목、류형、관경、체장、주행、출근막후축향급원혈관외경,병대기진행정위.결과 본조10측표본중,공유44지고전외측피판천지,평균매측(4.4±1.8)지;기중,기피천지30지(68.2%),기간격천지14지(31.8%).최조천지체장평균위(10.86±1.18)cm(8.29～14.44 cm),거가전상극여빈골외상단중점평균거리위(3.25±0.69)cm,주요위우해점외상부.원동맥주요위선고외측동맥강지.체동、정맥외경평균위(3.16±0.59)、(3.08±0.20)mm.결론 고전외측천지피판천지혈관해부위치교위항정,천지피판제작방편,기관경급체장균괄의두경종류술후결손적수복.
Objective To study the anatomy of the anterolateral thigh perforators flap and explore its chnical application in the reconstruction of head and neck defects.Methods Five adult fresh cadavers were prepared,and morphosis and blood supply of anterolateral thigh flap perforators were examined by microsurgery anatomy.During dissections,the following parameters were recorded:number and type of perforators vessels,diameter of perforators,pedicle length,diameter of the original vessels,route(infra fascia and supra fascia);its position were located by anatomical landmark.Results There were an average of(4.4±1.8)anterolateral thigh perforators flaps(ALTP flap)in each specimen with 68.2%musculocutaneous perforator and 31.8% septocutaneous perforator.The mean pedicle length of the largest perforator was(10.86±1.18)cm(8.29-14.44 cm),and its location was constantly concentrated in the superolateral region of the midpoint of the line linking the anterosuperior iliac spine and superolateral border of the patella.The distance between surface location of the largest perforator and the midpoint was(3.25 ± 0.69)cm.Original vessel was mostly descend branch of lateral circumflex femoral artery/vein with average diameter of(3.16 ±0.59)/(3.08±0.02)mm.Conclusion ALTP flap has constant position,large caliber,and long pedicle and therefore is useful for operation and option in reconstruction of head neck defects.
