中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2014年
6期
578-581
,共4页
林加福%林涧%吴碧莲%陈玲珑
林加福%林澗%吳碧蓮%陳玲瓏
림가복%림간%오벽련%진령롱
旋股外侧动脉%膝降动脉%游离组织瓣%应用解剖
鏇股外側動脈%膝降動脈%遊離組織瓣%應用解剖
선고외측동맥%슬강동맥%유리조직판%응용해부
Lateral circumflex femoral artery%Descending genicular artery%Free flap%Applied anatomy
目的 解剖观测膝上长血管(旋股外侧动脉降支血管、膝降动脉),探讨其联合游离组织瓣移植修复小腿严重创伤的可行性. 方法 30侧成人下肢标本,以髂前上嵴、髌骨上缘和收肌结节为观测标志,沿腹股沟韧带中点与髌骨上缘中点切开皮肤,分别向后外侧、后内侧翻开,解剖观测:①旋股外侧动脉降支血管的起始外径,0.5 mm外径时与起始处、髌骨下缘的距离.②膝降动脉起始处的外径,起始处距收肌结节距离.③旋股动脉降支、膝降动脉终末血管与髌周血管间的吻合关系. 结果 旋股外侧动脉降支血管起始处的外径为(2.73±0.35) mm,外径为0.5 mm外径时与起始处、髌骨下缘的距离分别为(24.56±0.92) cm、(6.09±0.86) cm;膝降动脉的起始外径为(2.19±0.31) mm,起始处距收肌结节的距离为(8.45±0.97) cm.旋股外侧动脉降支和膝降动脉在下行过程中均发出多支分支,终支参与膝关节动脉网的形成,与膝周其他动脉在骨膜处、深筋膜层和浅筋膜层均有广泛的吻合. 结论 理论上旋股外侧动脉降支血管和膝降动脉有足够的长度和血供,可逆行转位吻合游离组织瓣修复小腿严重创伤.
目的 解剖觀測膝上長血管(鏇股外側動脈降支血管、膝降動脈),探討其聯閤遊離組織瓣移植脩複小腿嚴重創傷的可行性. 方法 30側成人下肢標本,以髂前上嵴、髕骨上緣和收肌結節為觀測標誌,沿腹股溝韌帶中點與髕骨上緣中點切開皮膚,分彆嚮後外側、後內側翻開,解剖觀測:①鏇股外側動脈降支血管的起始外徑,0.5 mm外徑時與起始處、髕骨下緣的距離.②膝降動脈起始處的外徑,起始處距收肌結節距離.③鏇股動脈降支、膝降動脈終末血管與髕週血管間的吻閤關繫. 結果 鏇股外側動脈降支血管起始處的外徑為(2.73±0.35) mm,外徑為0.5 mm外徑時與起始處、髕骨下緣的距離分彆為(24.56±0.92) cm、(6.09±0.86) cm;膝降動脈的起始外徑為(2.19±0.31) mm,起始處距收肌結節的距離為(8.45±0.97) cm.鏇股外側動脈降支和膝降動脈在下行過程中均髮齣多支分支,終支參與膝關節動脈網的形成,與膝週其他動脈在骨膜處、深觔膜層和淺觔膜層均有廣汎的吻閤. 結論 理論上鏇股外側動脈降支血管和膝降動脈有足夠的長度和血供,可逆行轉位吻閤遊離組織瓣脩複小腿嚴重創傷.
목적 해부관측슬상장혈관(선고외측동맥강지혈관、슬강동맥),탐토기연합유리조직판이식수복소퇴엄중창상적가행성. 방법 30측성인하지표본,이가전상척、빈골상연화수기결절위관측표지,연복고구인대중점여빈골상연중점절개피부,분별향후외측、후내측번개,해부관측:①선고외측동맥강지혈관적기시외경,0.5 mm외경시여기시처、빈골하연적거리.②슬강동맥기시처적외경,기시처거수기결절거리.③선고동맥강지、슬강동맥종말혈관여빈주혈관간적문합관계. 결과 선고외측동맥강지혈관기시처적외경위(2.73±0.35) mm,외경위0.5 mm외경시여기시처、빈골하연적거리분별위(24.56±0.92) cm、(6.09±0.86) cm;슬강동맥적기시외경위(2.19±0.31) mm,기시처거수기결절적거리위(8.45±0.97) cm.선고외측동맥강지화슬강동맥재하행과정중균발출다지분지,종지삼여슬관절동맥망적형성,여슬주기타동맥재골막처、심근막층화천근막층균유엄범적문합. 결론 이론상선고외측동맥강지혈관화슬강동맥유족구적장도화혈공,가역행전위문합유리조직판수복소퇴엄중창상.
Objective Anatomical researches of two long superiror genicular vessels,the descending branch of lateral circumflex femoral artery (LCFA) and the descending genicular artery(DGA),were performed to discuss the feasibility of reconstruction in lower leg's destruction injury by free flaps transplant anastomoses with these two long superior genicular vessels.Methods Thirty embalmed lower limb specimens from adult cadavers perfused with red latex were used for this anatomical study.The superior of patella,anterior inferior iliac spine and adductor tubercle were used as observation landmark.Dissection started along the line that from the middle point of Inguinal Ligament to the middle point of superior line of patella,and dividedly turned over to posterior lateral part and posterior medial part.The followings were focused observed:①The external diameter at the beginning of the D-LCFA ; the 0.5 mm external diameter point of this artery,and its length to the beginning and superior of patella.②The external diameter at the beginning of DGA,the distance between the beginning of DGA and adductor tubercle.③Anastomoses relations of final branches of D-LCFA and DGA with other arteries around the knee.Results The external diameter of the beginning of D-LCFA was (2.73 ± 0.35) mm ; the 0.5 mm external diameter point of this artery's length to the beginning and to the superior of patella were (24.56 ± 0.92) cm and (6.09 ± 0.86) cm; both D-LCFA and DGA had sent out many perforator arteries on their ways; the final branch of D-LCFA and DGA had lots of anastomoses relations in perioseal deep fascia and superficial fascia with other genicular arteries.Conclusion Base on the anatomical researches,in theory,the two long superior genicular vessels (D-LCFA and DGA) have enough lengthes and blood supply to regress and anastomosis with free flaps transplant to repair lower leg's smashed wound.
