闭孔动脉跨区供血的长型股薄肌肌皮瓣的解剖学研究及其临床意义

发布时间：2018-06-14 07:54

本文选题：股薄肌 + 闭孔动脉　；参考：《江西医学院》2005年硕士论文

【摘要】：目的本课题的研究目的包括以下几项内容:1.对股薄肌的形态、主要血管、神经的来源、血管神经蒂的长度、入肌部位等进行解剖观测。2.阐明皮瓣内闭孔动脉的起始、走行、管径、分布范围。3. 阐明皮瓣内旋股内侧动脉的起始、走行、管径、分布范围。4.观测闭孔动脉与旋股内侧动脉的吻合情况,并确定其恒定性。5.将解剖学研究应用于临床以观察治疗效果。材料和方法在38 侧经动脉灌注红色乳胶的成人尸体下肢标本上,观察以下几项内容:1)股薄肌的形态、主要血管、神经的来源、血管神经蒂的长度、入肌部位;2)股薄肌皮瓣内闭孔动脉的起始、走行、管径、分布范围;3)股薄肌皮瓣内旋股内侧动脉的起始、走行、管径、分布范围;4)观察股薄肌皮瓣内闭孔动脉与旋股内侧动脉的吻合情况,并确定其恒定性。 2 侧新鲜标本,于股动脉和髂内动脉内灌注红色乳胶,福尔马林液防腐,然后切取皮瓣,摄取x 线片。临床应用5 个闭孔动脉跨区供血的长型股薄肌肌皮瓣,为4 例外阴癌切除术后遗留大面积外阴阴道缺损的患者进行即时修复,其中1 例采用双股薄肌肌皮瓣,3 例采用单股薄肌肌皮瓣。根据癌切除后创面的形状设计股薄肌肌皮瓣的大小,并结扎股深动脉的股薄肌支,以肌肉在闭孔的起始部为蒂转移修复外阴、阴道。结果1 股薄肌全长(40.5±1.8)cm,肌腹长(29±0.5)cm,肌腱长(11.3±1.2)cm。肌腹最宽处在上、中1/3 交界处,宽度为(3.1±0.7)cm,厚(0.8±0.2)
[Abstract]:Objective the purpose of this study includes the following contents: 1. The morphology, the origin of the main vessels and nerves, the length of the pedicle of the vascular nerve, and the position of the muscle were anatomically observed. 2. 2. The origin, path, diameter and distribution range of the internal obturator artery of the flap were elucidated. The origin, path, diameter and distribution of medial circumflex femoral artery of the flap were elucidated. The anastomosis of obturator artery and medial circumflex femoral artery was observed, and its constancy was determined. Anatomical study was applied in clinic to observe the therapeutic effect. Materials and methods 38 adult cadaveric cadavers with transarterial infusion of red latex were used to observe the morphology, main vessels and nerves of the thin femoral muscle. The length of vascular and nerve pedicle, 2) the origin of obturator artery in thin femoral myocutaneous flap, the route, diameter and distribution range of internal circumflex femoral artery of thin femoral myocutaneous flap are 3) the start, walk, diameter of medial circumflex femoral artery of thin femoral myocutaneous flap, The anastomosis of the internal obturator artery with the medial circumflex femoral artery was observed, and the constantness of the artery was determined. 2 fresh specimens were obtained from the thin femoral myocutaneous flap. Red latex was infused into femoral artery and internal iliac artery. Five long thin femoral myocutaneous flaps with blood supply from obturator artery were used to repair large area vulvovaginal defects in 4 patients after vulvar cancer resection. One case was treated with double thinning myocutaneous flap and 3 cases were treated with single thigh thin myocutaneous flap. According to the shape of the wound after cancer resection, the size of the musculocutaneous flap was designed, and the branch of the deep femoral artery was ligated. The vulva and vagina were repaired with the pedicle transfer of the muscle at the beginning of the obturator. Results 1the total length of musculus gracilis was 40.5 卤1.8 cm, the length of abdominal muscle was 29 卤0.5 cm, and the length of tendon was 11.3 卤1.2 cm. The width of the muscle abdomen is on the top, at the junction of 1 / 3 of the middle, the width is 3.1 卤0.7 cm, and the thickness is 0.8 卤0.2).
【学位授予单位】：江西医学院
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R322

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