尺侧上副动脉穿支皮瓣的解剖学研究

发布时间：2018-03-31 03:07

本文选题：臂　切入点：动脉　出处：《吉林大学》2006年硕士论文

【摘要】：为尺侧上副动脉穿支皮瓣提供解剖学基础。通过对14侧新鲜成人上肢标本的显微解剖学研究发现:尺侧上副动脉全程均有穿支皮动脉发出,其中远近两端的穿支位置恒定,并与尺侧下副动脉、尺侧返动脉及臂后皮动脉所发出的穿支在上臂内侧中、下部皮肤各层次形成可靠的血管吻合网。本研究为上臂内侧皮肤的血管构筑提供了更为详尽的解剖学数据,并以此设计了以尺侧上副动脉穿支为血管蒂的上臂内侧近端蒂及远端蒂皮瓣用来修复腋部、上臂上部及肘部、前臂上部的软组织缺损。该皮瓣血管蒂血供稳定,手术操作简单,供区损伤小,设计灵活,易于临床推广。
[Abstract]:The microanatomical study of 14 fresh adult upper limb specimens showed that the perforating cutaneous artery of the superior ulnar collateral artery appeared throughout the course of the whole process, and the perforating branches at the far and near ends of the flap were constant, and the microanatomy of 14 fresh adult upper limb specimens showed that the perforating branch of the superior ulnar collateral artery was in a constant position. The perforating branches of the inferior ulnar collateral artery, the recurrent ulnar artery and the posterior cutaneous artery were located in the medial upper arm. A reliable vascular anastomosis network is formed at all levels of the lower skin. This study provides more detailed anatomical data for the vascular architecture of the medial upper arm skin. The medial proximal end pedicle and distal pedicle flap pedicled with the perforating branch of the superior superior ulnar collateral artery were designed to repair the soft tissue defects in the armpit, upper arm, elbow and upper forearm. The blood supply of the vascular pedicle of the flap was stable and the operation was simple. The donor area has the advantages of small injury, flexible design and easy to be popularized in clinic.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R322

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