中华口腔医学杂志
中華口腔醫學雜誌
중화구강의학잡지
Chinese Journal of Stomatology
2015年
4期
240-243
,共4页
周剑虹%黄欣%任常群%郭晓丹
週劍虹%黃訢%任常群%郭曉丹
주검홍%황흔%임상군%곽효단
外科皮瓣%解剖学,局部%舌
外科皮瓣%解剖學,跼部%舌
외과피판%해부학,국부%설
Surgical flaps%Anatomy,regional%Tongue
目的 研究股薄肌瓣的相关解剖学特征,为临床舌再造提供依据.方法 解剖15具尸体标本的30块股薄肌,对股薄肌的形态学指标以及血管神经蒂的起源、长度、直径进行解剖学观测.结果 股薄肌全长、肌腹长度分别为(41.8±3.9)、(31.0±3.6) cm,肌肉宽度、厚度分别为(3.2±0.7)、(1.7±0.2)cm.股薄肌血供为多源性,有2～5支血管蒂从其前缘深面进入并营养股薄肌,其中主要血管蒂及第一远心端次要血管蒂位置恒定,分别起源于股深动脉、股动脉,血管长度及直径可供血管吻合;其他血管蒂位置不恒定,血管长度及直径均不适合血管吻合.股薄肌运动神经均恒定起于闭孔神经前支,其长度及直径适于与舌下神经吻合.结论 股薄肌瓣位置表浅,形态与舌匹配良好,血管、神经蒂位置恒定,长度及直径均适合于显微缝合,可恢复舌的运动功能,是用于舌再造的一种较好选择.
目的 研究股薄肌瓣的相關解剖學特徵,為臨床舌再造提供依據.方法 解剖15具尸體標本的30塊股薄肌,對股薄肌的形態學指標以及血管神經蒂的起源、長度、直徑進行解剖學觀測.結果 股薄肌全長、肌腹長度分彆為(41.8±3.9)、(31.0±3.6) cm,肌肉寬度、厚度分彆為(3.2±0.7)、(1.7±0.2)cm.股薄肌血供為多源性,有2～5支血管蒂從其前緣深麵進入併營養股薄肌,其中主要血管蒂及第一遠心耑次要血管蒂位置恆定,分彆起源于股深動脈、股動脈,血管長度及直徑可供血管吻閤;其他血管蒂位置不恆定,血管長度及直徑均不適閤血管吻閤.股薄肌運動神經均恆定起于閉孔神經前支,其長度及直徑適于與舌下神經吻閤.結論 股薄肌瓣位置錶淺,形態與舌匹配良好,血管、神經蒂位置恆定,長度及直徑均適閤于顯微縫閤,可恢複舌的運動功能,是用于舌再造的一種較好選擇.
목적 연구고박기판적상관해부학특정,위림상설재조제공의거.방법 해부15구시체표본적30괴고박기,대고박기적형태학지표이급혈관신경체적기원、장도、직경진행해부학관측.결과 고박기전장、기복장도분별위(41.8±3.9)、(31.0±3.6) cm,기육관도、후도분별위(3.2±0.7)、(1.7±0.2)cm.고박기혈공위다원성,유2～5지혈관체종기전연심면진입병영양고박기,기중주요혈관체급제일원심단차요혈관체위치항정,분별기원우고심동맥、고동맥,혈관장도급직경가공혈관문합;기타혈관체위치불항정,혈관장도급직경균불괄합혈관문합.고박기운동신경균항정기우폐공신경전지,기장도급직경괄우여설하신경문합.결론 고박기판위치표천,형태여설필배량호,혈관、신경체위치항정,장도급직경균괄합우현미봉합,가회복설적운동공능,시용우설재조적일충교호선택.
Objective To study the anatomic features of the gracilis muscle flap and its clinical application in tongue reconstruction.Methods Thirty gracilis muscles in 15 cadavers were dissected,and the morphometric parameter of the gracilis muscle and the origin,length,diameter of the vascular and nerve pedicle were observed and measured.Results The length of the total gracilis and the muscle belly was 41.8±3.9 cm and 31.0±3.6 cm respectively,and the width and thickness of the muscle was 3.2±0.7 cm and 1.7±0.2 cm respectively.The blood supply to the gracilis originated from multiple source vessles,and two to five pedicles supplied the gracilis from its deep surface and entered the muscle near its anterior border,of which the dominant pedicle and the first distal pedicle were consistent in their anatomy which originated from the profunda femoris vessels and the femoris vessels respectively.The length and external diameter of these vessels were suitable for microvascular anastomosis,while other vessel pedicles were neither consistent in their anatomy nor the length and external diamiter suitable for microvascular anastomosis.The nerve to the gracilis arose from the anterior division of the obturator nerve consistently and its length and external diameter was suitable for anastomosis with the hypoglossal nerve.Conclusions Because of superficial location,excellent morphological match for tongue,consistency in its vascular and neural pedicle's anatomy and suitability of neurovascular pedicle' s length and external diameter for microsurgical anastomoses,possibility of regaining tongue movements,the gracilis flap is a ideal option for tongue reconstruction.
