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足背逆转皮瓣的应用解剖学 被引量:6

Applied anatomy of reverse dorsal pedis flap
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摘要 在30侧成人下肢标本上,对足背逆转皮瓣的血供和静脉回流作解剖观测。每侧足背动脉近端发出皮支约2.2±0.8条,外径约0.6±0.2mm。浅弓支恒定,93.6%无瓣膜。足背静脉平均有瓣膜2.4个、交通支4.0条、旁路2.1个。足底深支静脉瓣膜少,有1~3条交通支。足背皮瓣逆转后,由足底深支逆流的动脉血达足背动脉皮支供血。静脉血可通过足背静脉交通支、旁路逆流至足底深支静脉经足底外侧静脉回流。也可通过浅弓支经足背静脉弓至大、小隐静脉回流。在临床施行6例足背皮瓣逆转术,全部成活。 he blood supply and venous drainage of the reverse dorsal pedis flap were observed on 30adtilt cadaveric lower limbs.Each clorsal pedis artery sends 1~3 ctitaneotis branches with an av-erage diameter of 0.6±0.2 mm at proximal part.The stiperficial arch branches are between thedistal part of dorsal pedis vein and the dorsal pedis arcusvein and93.6%of them have no valves. The dorsal pedis vein has averagely 2.4 valves,4.0 communicating branches and 2.1 venous by- passes.Fewer valves and 1~ 3commtunicating branches are in the deep branch of plantar veins. After retrograde transplantation,the flap is stipplied by the ramus plantaries profundus of thedorsal pedis artery,and the venous drainage is either through the ramtis plaiitaries proftindus tothe lateral plantar vein or throtigh the stiperficial arch branches to the dorsal pedis vein arch.Sixcases of retrograde transplantation of dorsal pedis flap were successftully performed clinically.
出处 《中国临床解剖学杂志》 CSCD 北大核心 1995年第3期179-181,共3页 Chinese Journal of Clinical Anatomy
基金 内蒙古自然科学基金
关键词 足背皮瓣 逆转术 静脉 应用解剖学 dorsal pedis flap trahsplantation vein
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