臀上皮神经筋膜皮瓣的应用解剖学研究

发布时间：2019-01-01 20:42

【摘要】： 目的:皮神经营养血管皮瓣是一类以皮神经血供为其成活基础的新型皮瓣,皮神经周围的营养血管在营养神经的同时发支营养其周围的筋膜皮肤。本题通过对臀上皮神经筋膜皮瓣的应用解剖学研究为臀上皮神经筋膜皮瓣设计提供解剖学基础,并臀上皮神经筋膜皮瓣旋转点的精确设计提供解剖学基础。这个皮瓣可以用最小的副损伤修复骶部褥疮,并且皮瓣有感觉,为预防褥疮的复发提供可能。方法:1解剖学研究:巨微解剖学方法,随机选取31侧用红色乳胶灌注的国人标本进行解剖。(1)解剖臀上动脉的肌皮穿支并测量其外径。(2)解剖臀上皮神经和第四腰动脉后支观察其在深筋膜穿出点的位置。(3)测量臀上皮神经中支的长度。(4)测量第四腰动脉后支的外径。2数据结果采用spss11.5统计学软件处理。结果: 1臀上皮神经中支长度15.1±1.4厘米(x±s,n=31) 2臀上皮神经中支支配区有效长度13.3±1.5厘米(x±s,n=31) 3臀上皮神经、第四腰动脉后支出肌点距髂嵴上缘距离8.5±1.1毫米(x±s,n=31) 4臀上皮神经、第四腰动脉后支出肌点距后正中线距离7.1±1.6厘米(x±s,n=31) 5第四腰动脉后支外径1.0±0.3毫米(x±s,n=31) 6臀上动脉上支的肌皮穿支外径0.52±0.22毫米(x±s,n=15) 0.42±0.18毫米(x±s,n=10)
[Abstract]:Objective: the cutaneous neurovascular flap is a new type of skin flap based on the blood supply of the cutaneous nerve. The nutrient vessels around the cutaneous nerve nourish the fascial skin around the cutaneous nerve at the same time. In this paper, the applied anatomical study of the gluteal epithelial neurofascial flap provides the anatomical basis for the design of the gluteal epithelial neurofascial flap and the precise design of the rotation point of the gluteal epithelial neurofascial flap. The flap can be used to repair sacral bedsore with minimal paracentesis, and the flap has a sense, which provides the possibility to prevent the recurrence of bedsore. Methods: 1 Anatomical study: giant microanatomy, 31 Chinese specimens infused with red latex were randomly selected for dissection. (1) the musculocutaneous perforating branches of superior gluteal artery were dissected and their external diameters were measured. (2) the superior gluteal nerve and the posterior branch of the fourth lumbar artery were dissected and observed through the deep fascia. (3) the length of the middle branch of the superior gluteal nerve was measured. (4) the outer diameter of the posterior branch of the fourth lumbar artery was measured. 2 the data were processed by spss11.5 software. Results: (1) the length of the middle branch of the gluteal epithelial nerve was 15.1 卤1.4 cm (x 卤s1. 4 cm) 2 the effective length of the innervation area of the middle branch of the superior gluteal nerve was 13.3 卤1.5 cm (x 卤s). The distance between the point of the forth lumbar artery and the superior edge of the iliac crest was 8.5 卤1.1 mm (x 卤sn ~ (31), and 4 gluteal epithelial nerves were located in the posterior part of the fourth lumbar artery and the superior edge of the iliac crest. The outer diameter of the posterior branch of the fourth lumbar artery was 1.0 卤0.3 mm (x 卤s). 6 the external diameter of the cutaneous perforating branch of the superior gluteal artery is 0.52 卤0.22 mm (x 卤sln 15) 0.42 卤0.18 mm (x 卤sln 10).
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R322;R622

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