本文選題：足背內(nèi)側(cè)皮神經(jīng) + 足背中間皮神經(jīng)��； 參考：《昆明醫(yī)學(xué)院》2006年碩士論文

【摘要】：目的 為足背部皮神經(jīng)營養(yǎng)血管皮瓣設(shè)計提供解剖學(xué)依據(jù)，并報道其初步臨床應(yīng)用效果。 方法 32側(cè)乳膠灌注的成人下肢標(biāo)本，對足背部皮神經(jīng)(包括足背內(nèi)側(cè)皮神經(jīng)、足背中間皮神經(jīng)、足背外側(cè)皮神經(jīng)和腓深神經(jīng)終末支)及其營養(yǎng)血管進(jìn)行解剖，觀察其起始、直徑、走行、分支及分布情況。在此基礎(chǔ)上設(shè)計足背內(nèi)側(cè)皮神經(jīng)營養(yǎng)血管皮瓣2例，足背中間皮神經(jīng)營養(yǎng)血管皮瓣3例，足背外側(cè)皮神經(jīng)營養(yǎng)血管皮瓣1例，足背內(nèi)側(cè)皮神經(jīng)營養(yǎng)血管聯(lián)合腓深神經(jīng)終末支營養(yǎng)血管皮瓣1例應(yīng)用于臨床修復(fù)足前端創(chuàng)面。 結(jié)果 ①足背內(nèi)側(cè)皮神經(jīng)續(xù)于腓淺神經(jīng)，行于踝間線時位于中點內(nèi)側(cè)(0.7±4.3)mm，直徑(2.59±0.54)mm，主干于踝間線遠(yuǎn)端(3.0±1.5)cm處發(fā)出分支支配足背內(nèi)側(cè)和(足母)內(nèi)側(cè)，第二跖背和趾蹼相對緣及第一跖背皮膚。足背內(nèi)側(cè)皮神經(jīng)營養(yǎng)血管平均每側(cè)6.9支，，最為恒定的分支穿深筋膜時分別位于踝間線近端(4.1±0.5)cm，直徑(0.81±0.13)mm；第一跖趾關(guān)節(jié)內(nèi)側(cè)近端(1.4±0.2)cm，直徑(0.48±0.08)mm；第二趾蹼尖近端(1.5±0.3)cm，直徑(0.46±0.08)mm。 ②足背中間皮神經(jīng)續(xù)于腓淺神經(jīng)，行于踝間線時位于中點外側(cè)(1.3±0.6)cm，直徑(2.05±0.56)mm，主干于踝間線遠(yuǎn)端(2.8±1.3)cm處發(fā)出分支主要支配第二、三、四跖背及趾蹼相對緣皮膚。足背中間皮神經(jīng)營養(yǎng)血管平均每側(cè)5.1支，最為恒定的三支分別位于踝間線近端(4.3±0.4)cm，直徑(0.82±0.13)
[Abstract]:Objective to provide anatomical basis for the design of neurocutaneous neurovascular flap on the back of foot and to report its preliminary clinical application. Methods 32 sides of adult lower extremity specimens perfused with latex were dissected from dorsal cutaneous nerve (including medial dorsal cutaneous nerve of foot, middle cutaneous nerve of dorsalis pedis, dorsolateral cutaneous nerve of foot and terminal branch of deep peroneal nerve) and their nutrient vessels were observed. Diameter, walk, branch and distribution. On this basis, two cases of medial cutaneous neurocutaneous vascular flap of dorsalis pedis, 3 cases of nutritional vascular flap of medial cutaneous nerve of dorsalis pedis and 1 case of nutrient vascular flap of dorsal lateral cutaneous nerve of foot were designed. One case of dorsal medial cutaneous neurovascular flap combined with nutrient vascular flap of the terminal branch of deep peroneal nerve was used to repair the anterior foot wound. Result 1 the medial dorsal cutaneous nerve of the foot continued at the superficial peroneal nerve, which was located at the medial point of the interankle line at 0.7 鹵4.3 mm, with a diameter of 2.59 鹵0.54 mm. The main trunk distributed at the distal part of the intermalleolar line (3. 0 鹵1.5)cm) to innervate the medial dorsalis pedis and the medial (female) foot, the second metatarsal dorsal and the webbed relative margin and the first dorsal metatarsal skin. The medial dorsal cutaneous nerve of foot had an average of 6.9 vessels per side. The most constant branches were located at the proximal end of the intermalleolar line at 4.1 鹵0.5 cm and 0.81 鹵0.13 mm in diameter, the first metatarsophalangeal joint was 1.4 鹵0.2 cm in diameter, 0.48 鹵0.08 mm in diameter, and 1.5 鹵0.3 cm in diameter at the proximal end of the second webbed tip, with a diameter of 0.46 鹵0.08 mm. in the first metatarsophalangeal joint, the proximal end of the first metatarsophalangeal phalangeal joint was 0.48 鹵0.08 mm in diameter. 2 the medial cutaneous nerve of the dorsalis pedis continued at the superficial peroneal nerve, which was located at the lateral side of the midpoint of the intermalleolar line 1.3 鹵0.6 cm in diameter and 2.05 鹵0.56 mm in diameter. The branch of the trunk at the distal part of the interankle line, 2.8 鹵1.3)cm, mainly innervated the second, third and fourth metatarsal dorsal and the relative margin of the toe webbed skin. The nutrient vessels of medial cutaneous nerve of dorsalis pedis averaged 5.1 on each side, the three most constant branches were located at the proximal end of the intermalleolar line (4.3 鹵0.4 cm), with a diameter of 0.82 鹵0.13).
【學(xué)位授予單位】：昆明醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2006
【分類號】：R658.3;R322

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