摘要
目的：为阴股沟皮瓣的临床应用提供解剖学依据。方法：通过颈总动脉灌注、显微解剖，对３０例（６０侧）成人尸体的阴部外动脉和阴唇（阴囊）后动脉的起始、行程、外径、分支、分布与主干长度以及阴股沟区皮肤的神经支配进行观察。结果：阴部外动脉主要起于股动脉的前内侧壁，主干长度为（５．０９±０．８３）ｃｍ，其分支及终支与阴囊（阴唇）后动脉、阴茎背（阴蒂）动脉及精索外动脉在皮下吻合形成丰富的动脉网。临床应用阴股沟皮瓣４４例，均取得理想的治疗效果。结论：阴股沟皮瓣血管恒定，血供可靠，操作简便，不破坏外阴形态，可作上蒂瓣、也可作下蒂瓣切取，是修复会阴部组织缺损及器官再造的理想皮瓣。
Objective:To study the anatomy and clinical application of pudendo femoral skin flap.Methods:Gross and microsurgical anatomy were performed on 30 fresh adult cadavers(60 sides) by common carotid artery perfusion to show the origin,course,external conjugate diameter,branch,distribution,length and the distributional range of the arteries in pudendo femoral region and the nerves innervation of the skin in that area.Results:The external pudendal artery mainly originated from the anteromedial wall of the femoral arteries and was 5.09±0.83 cm in length.It's branches and terminal branches anastomosed with the posterior artery of the scrotum(or labia),the dorsal artery of penis(or clitoris) and the external spermatic artery to forme artery rich networks.Based on the anatomical study,the pudendo femoral skin flaps with external pudendal arteries were used in 44 clinical cases,the results were good in all cases.Conclusions:The blood vessels of the pudendo femoral skin flaps are constant,the blood supply of the flap is reliable,the surgical procedure is simple and the progenital appearance is not destroyed,the flap may be rotated as an upward or downward.It is an ideal flap for repairing the defects perineum for organoplasty.
出处
《蚌埠医学院学报》
CAS
1999年第4期225-227,F002,共4页
Journal of Bengbu Medical College
关键词
外科皮瓣
解剖学
阴股沟皮瓣
surgical flap
vulva
anatomy,regional
arteries
surgery,plastic
