腓动脉穿支皮瓣的应用解剖

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (4): 382-385.

腓动脉穿支皮瓣的应用解剖

李匡文¹，　唐举玉²，　刘昌雄¹，　谢松林¹，　刘鸣江¹，　陶克奇¹

1.南华大学附属南华医院手外科, 湖南衡阳 421002；　2.中南大学湘雅医院骨科, 长沙 410008

收稿日期:2010-11-23 发布日期:2011-07-26
通讯作者: 唐举玉，教授，硕士生导师，E-mail:tjy7301@sohu.com E-mail:louiswen308@yahoo.com.cn
作者简介:李匡文（1982-），男，湖南常德人，硕士，主要从事四肢创伤的修复重建，Tel：（0734）8358365

Applied anatomy of peroneal artery perforator flap

LI Kuang-wen¹, TANG Ju-yu², LIU Chang-xiong¹, XIE Song-lin¹, LIU Ming-jiang¹, TAO Ke-qi¹

1. Department of Hand Surgery, Affiliated NanHua Hospital, NanHua University, HengYang 421002, China;
2. Department of Orthopaedics, XiangYa Hospital, Central South University, Changsha 410008, China

Received:2010-11-23 Published:2011-07-26

摘要/Abstract

摘要：

目的　为腓动脉穿支皮瓣的临床应用提供解剖学基础。方法　15例新鲜中国成人小腿标本，红色乳胶灌注，观测腓动脉穿支数目、分布、蒂长与外径、走行与类别。结果　15例标本共出现68个穿支，每侧4.5个穿支，小腿外侧近端穿支呈多源性；腓动脉在腓骨头下10～15 cm节段穿支数所占比例最大，这一区间穿支蒂最长，为(5.23±0.75)cm；腓骨头下5～20 cm 范围内穿支外径较粗，小腿外侧近段穿支以比目鱼肌肌穿支为主，中远段以　长屈肌肌穿支和肌间隙支为主。结论　腓骨头下10～15 cm节段腓动脉穿支较为恒定，穿支蒂较长，外径较粗，适合设计切取腓动脉穿支皮瓣游离移植。

关键词: 穿支皮瓣, 腓动脉, 小腿, 应用解剖

Abstract:

Objective　To provide anatomic basis for the application of the peroneal artery perforator flap.　Methods　Fifteen fresh adult leg specimens injected with red latex were dissected. The number, distribution, and the courses of the peroneal artery perforators were explored, as well, the pedicle length and external diameter of the artery used for the flap were measured and analyzed.　Results　68 perforators were identified in 15 leg specimens (averagely 4.5 perforators for each leg). The perforators in the proximally lateral leg originated from different arteries. Peroneal artery perforator gathered in the region under the fibular head about 10 to 15 cm, with the longest perforator of (5.23±0.75)cm. Under the fibular head about 5 to 20 cm, the larger perforator could be identified. The perforators in the proximal lateral leg were mainly soleus perforators, and the most septocutaneous perforators and the flexor hallucis longus muscle perforators gathered in the lateral mid-distal region.　Conclusions　With the stable course, enough size and length, peroneal artery perforators originated from the region under the fibular head about 10 to 15cm are ideal nutrient vessel for supplying free peroneal perforator flap.

Key words: Perforator flap, Peroneal artery, Leg, Applied anatomy

中图分类号:

李匡文, 唐举玉, 刘昌雄, 谢松林, 刘鸣江, 陶克奇. 腓动脉穿支皮瓣的应用解剖[J]. 中国临床解剖学杂志, 2011, 29(4): 382-385.

LI Kuang-Wen, TANG Ju-Yu, LIU Chang-Xiong, XIE Song-Lin, LIU Ming-Jiang, DAO Ke-Ai. Applied anatomy of peroneal artery perforator flap[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(4): 382-385.

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