中国临床解剖学杂志 ›› 2009, Vol. 27 ›› Issue (6): 675-.

• 应用解剖 • 上一篇    下一篇

肘后血管网与组织瓣设计的解剖学基础

罗 滨   

  1. 深圳职业技术学院  医护学院,  广东   深圳    518055
  • 收稿日期:2008-11-07 出版日期:2009-12-25 发布日期:2010-01-06
  • 作者简介:罗 滨(1968-),男,江西吉安人,硕士,副教授,主要从事临床应用解剖学研究, Tel: (0755)26731232

The posterior elbow vascular network and the flap design: anatomic study

LUO Bin   

  1. Medical Technic and Nursing College, Shenzhen Polytechnic, Shenzhen 518055,China
  • Received:2008-11-07 Online:2009-12-25 Published:2010-01-06

摘要:

        目的:研究肘后血管网对肘后组织瓣的供血作用,为临床设计新的组织瓣提供解剖学基础。方法:通过6例新鲜上肢标本和2例上肢血管铸型标本的解剖,观察肘后血管网的形态学特点及其与肘后组织瓣的供血关系。结果:肘后血管网分为肘后内侧血管网和肘后外侧血管网,分别发出骨膜支和肌皮穿支到肘后相关组织瓣区,肘后内侧血管网吻合处外径在(1.8±0.3)mm;肘后外侧血管网吻合处外径在(0.9± 0.4)mm。肘后内、外侧血管网之间吻合处外径在0.3~0.9 mm。结论:根据肘后血管网吻合特点,可为临床设计出不带桡侧副动脉背侧支的外侧筋膜骨膜瓣、不带尺侧返动脉背侧支的内侧筋膜骨膜瓣和骨间返动脉骨膜支的鹰嘴骨膜皮瓣等组织瓣。

关键词: 肘部, 血管网, 筋膜皮瓣, 骨膜瓣, 供血

Abstract:

        Objective: To investigate anatomic characteristics of the posterior elbow vascular network and its clinical discussion to the blood supply based flaps of the posterior elbow. Methods: Six fresh specimens and two injected upper limb were studied. Observations were emphasized on the posterior elbow vascular network and their connections with the blood supply based flaps of the posterior elbow. Results: The posterior elbow vascular network was abundant and formed by multiple source vessels, which were identified to the medial and the lateral vascular network of the posterior elbow. The diameter of the vascular network was 0.3~0.9 mm. Conclusions: According to the posterior elbow vascular network, different based flaps without the main vessels could be designed.

Key words: elbow region, vascular network, fascial flap, perioseum flap, blood supply

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