中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2013年
1期
52-55
,共4页
股深动脉%膝上外侧动脉%穿支皮瓣%应用解剖
股深動脈%膝上外側動脈%穿支皮瓣%應用解剖
고심동맥%슬상외측동맥%천지피판%응용해부
Profunda femoris%Superior lateral genicular artery%Perforator flap%Applied anatomy
目的 为股外侧穿支皮瓣的临床应用提供解剖学依据. 方法 5侧新鲜成人髋关节平面离断的下肢标本,经股动脉插管灌注红色乳胶,观测股外侧中、下部皮肤穿支数目、分布、蒂长与外径.结果 在股外侧中、下部共观测皮肤穿支19支,平均每侧(3.8±1.3)支.穿支主要来源于股深动脉第3穿动脉,部分来源于膝上外侧动脉及股深动脉第2、4穿动脉,股深动脉第3穿动脉皮穿支于腓骨小头上(13.8± 1.5)cm浅出深筋膜,膝上外侧动脉皮穿支于腓骨小头上(8.6±1.3)cm浅出深筋膜,皮肤穿支在穿深筋膜平面外径(0.7±0.2)mm.股深动脉第3穿动脉血管蒂外径(1.9±0.2)mm,蒂长(12.2±0.6)cm；膝上外侧动脉起始部外径(1.5 ±0.2)mm,蒂长(6.8±1.1)cm.股深动脉穿动脉与膝上外侧动脉的穿支分支相互吻合成网. 结论 股外侧穿支血管出现恒定,有较粗的血管外径,携带源动脉能获得较长的血管蒂,具备游离移植及带蒂转移所要求的解剖学特点.
目的 為股外側穿支皮瓣的臨床應用提供解剖學依據. 方法 5側新鮮成人髖關節平麵離斷的下肢標本,經股動脈插管灌註紅色乳膠,觀測股外側中、下部皮膚穿支數目、分佈、蒂長與外徑.結果 在股外側中、下部共觀測皮膚穿支19支,平均每側(3.8±1.3)支.穿支主要來源于股深動脈第3穿動脈,部分來源于膝上外側動脈及股深動脈第2、4穿動脈,股深動脈第3穿動脈皮穿支于腓骨小頭上(13.8± 1.5)cm淺齣深觔膜,膝上外側動脈皮穿支于腓骨小頭上(8.6±1.3)cm淺齣深觔膜,皮膚穿支在穿深觔膜平麵外徑(0.7±0.2)mm.股深動脈第3穿動脈血管蒂外徑(1.9±0.2)mm,蒂長(12.2±0.6)cm；膝上外側動脈起始部外徑(1.5 ±0.2)mm,蒂長(6.8±1.1)cm.股深動脈穿動脈與膝上外側動脈的穿支分支相互吻閤成網. 結論 股外側穿支血管齣現恆定,有較粗的血管外徑,攜帶源動脈能穫得較長的血管蒂,具備遊離移植及帶蒂轉移所要求的解剖學特點.
목적 위고외측천지피판적림상응용제공해부학의거. 방법 5측신선성인관관절평면리단적하지표본,경고동맥삽관관주홍색유효,관측고외측중、하부피부천지수목、분포、체장여외경.결과 재고외측중、하부공관측피부천지19지,평균매측(3.8±1.3)지.천지주요래원우고심동맥제3천동맥,부분래원우슬상외측동맥급고심동맥제2、4천동맥,고심동맥제3천동맥피천지우비골소두상(13.8± 1.5)cm천출심근막,슬상외측동맥피천지우비골소두상(8.6±1.3)cm천출심근막,피부천지재천심근막평면외경(0.7±0.2)mm.고심동맥제3천동맥혈관체외경(1.9±0.2)mm,체장(12.2±0.6)cm；슬상외측동맥기시부외경(1.5 ±0.2)mm,체장(6.8±1.1)cm.고심동맥천동맥여슬상외측동맥적천지분지상호문합성망. 결론 고외측천지혈관출현항정,유교조적혈관외경,휴대원동맥능획득교장적혈관체,구비유리이식급대체전이소요구적해부학특점.
Objective To provide anatomic evidence for the application of the lateral thigh perforator flap.Methods Dissected five fresh Chinese adult lower limbs specimens which were injected with red latex via arterial cannula.On the lateral area of middle and distal thigh,obseved the number,distribution,course,category,length of pedicle and external diameter of the flaps' perforators on specimens.Results On the lateral area of middle and distal thigh 19 perforator arteris were observed in these specimens,averagely there were (3.8 ± 1.3) cutaneous perforators in each flap.Perforators mainly origined from the third perforator artery of profunda femoris,secondly from the second,fourth perforator artery and superior lateral genicular artery.Cutaneous perforators of the third perforator artery of profunda femoris pierced the flap on (13.8 ± 1.5) cm proximal of the fibulae capitulum,while the cutaneous perforators of superior lateral genicular artery on (8.6 ± 1.3) cm proximal of the fibulae capitulum.Averagely internal diameter of cutaneous perforators was (0.7 ± 0.2) mm at the point where the perforators pierced deep fascia.The diameter of the profunda femoris was (1.9 ± 0.2) mm,and the pedicle length was (12.2 ± 0.6)cm.The diameter of superior lateral genicular artery was (1.5 ± 0.2)mm,and the pedicle length was (6.8 ± 1.1) cm.There were inosculated branch in these perforators which came from profunda femoris and superior lateral genicular artery.Conclusion The anatomic characteristic allowed this flap would likely be clinically useful in repairing soft tissue defects in extremity limbs as a free or pedicled flap,which the cutaneous perforators invariably appeared on the skin of lateral areat of middle and distal thigh ; the flap could obtain enough length of the pedicle from its origination ; the vessel has large caliber supporting a substantial cutaneous territory.
