小腿穿支皮瓣的应用解剖

发布时间：2018-01-06 08:39

本文关键词：小腿穿支皮瓣的应用解剖　出处：《郑州大学学报(医学版)》2013年02期 　论文类型：期刊论文

【摘要】：目的:探讨小腿穿支血管的应用解剖。方法:成人下肢标本10侧,用乳胶进行乆动脉灌注,解剖观察腓动脉及胫后动脉穿支的数量和走行,并以内外踝尖的连线标志定位穿支血管,绘制穿支血管分布图。结果:腓动脉沿途发出(5.3±0.8)支穿支血管,主要从外侧肌群、外侧肌间隔以及后外侧肌群穿出,集中在距外踝5～10cm及21～27cm这2个区段内。胫后动脉发出(5.6±0.3)支穿支血管,主要从内侧肌群、内侧肌间隔以及后内侧肌群穿出,多集中在距内踝6～8cm、13～18cm以及23～27cm这3个区段内。小腿深部源动脉的穿支血管均参与了皮神经营养血管丛的形成。结论:提供了小腿穿支皮瓣的血管解剖数据,为临床设计应用穿支皮瓣提供解剖学依据。
[Abstract]:Objective: to investigate the applied anatomy of perforating branches of the leg. Methods: 10 adult lower extremity specimens were perfused with latex to observe the number and course of perforating branches of peroneal artery and posterior tibial artery. Results: the peroneal artery sent out 5.3 卤0.8 branches along the way, mainly from the lateral muscle group. The perforating branches of the lateral septum and the posterolateral muscle group were concentrated in 510cm and 21,27cm from the lateral malleolus. The posterior tibial artery produced 5.6 卤0.3 branches of perforating vessels. It was mainly perforated from medial muscle group, medial septum and posterior medial muscle group, mostly in 6cm from medial malleolus. The perforating branches of deep shank artery were all involved in the formation of cutaneous neurotrophic vascular plexus in 13 ~ (18) cm and 23 ~ (27) cm. Conclusion:. Vascular anatomical data of perforating leg flap were provided. To provide anatomic basis for clinical design and application of perforating branch flap.
【作者单位】：新乡市第一人民医院骨二科;
【分类号】：R322.7
【正文快照】： 腓动脉及胫后动脉穿支皮瓣是临床上常用的修复小腿中下段及足踝部软组织缺损的方法,它们具有供区损伤小、皮瓣设计灵活多样、创面修复准确美观等优点[1-2]。但穿支血管数量多,变异大,不易定位,给临床上穿支皮瓣的切取带来了一定的风险。尽管国内外学者[3-8]对腓动脉及胫后动

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