本文選題：腓動(dòng)脈 + 穿支皮瓣　； 參考：《中國(guó)臨床解剖學(xué)雜志》2014年01期

【摘要】：目的解剖分析小腿部腓動(dòng)脈穿支的穿出規(guī)律及各穿支血管之間的聯(lián)系,為臨床設(shè)計(jì)腓動(dòng)脈雙穿支皮瓣提供形態(tài)學(xué)基礎(chǔ)。方法新鮮小腿標(biāo)本8例行動(dòng)脈灌注乳膠-氧化鉛,對(duì)腓動(dòng)脈各穿支血管解剖結(jié)構(gòu)主要是血管的形態(tài)、走形、分布進(jìn)行研究分析,篩選適合做雙穿支皮瓣的血管蒂。臨床上應(yīng)用7例,均為吻合雙血管蒂皮瓣,并逐漸擴(kuò)大皮瓣切取面積,皮瓣大小:5cm×9cm~8cm×15cm。結(jié)果腓動(dòng)脈直徑≥5mm的穿支血管4~5支,其中以第2支穿支外徑最粗,外徑為(0.94±0.11)mm、血管蒂較長(zhǎng),蒂長(zhǎng)為(6.61±1.32)cm、皮瓣血供面積較大適合作為首選穿支蒂再聯(lián)合其他穿支設(shè)計(jì)雙穿支皮瓣。7例雙皮支腓動(dòng)脈穿支皮瓣均成活,隨訪3~12個(gè)月,穿支皮瓣質(zhì)地優(yōu)良,外觀及功能恢復(fù)較佳。結(jié)論設(shè)計(jì)以第2穿支聯(lián)合其他穿支的腓動(dòng)脈雙穿支皮瓣,皮瓣軸心線位于穿支點(diǎn)后側(cè),臨床上可切取血供佳、面積較大的腓動(dòng)脈穿支皮瓣。
[Abstract]:Objective to analyze the perforating regularity of perforating branch of peroneal artery of the leg and the relationship between perforating branches, and to provide morphological basis for clinical design of double perforating branch flap of peroneal artery.In 7 cases, the flap was anastomosed with double vascular pedicle and the area of flap was gradually enlarged. The size of the flap was 5 cm 脳 9cm~8cm 脳 15 cm.Results the diameter of peroneal artery 鈮，

本文編號(hào)：1740184