摘要
目的 通过解剖学观测,为腕背支骨膜瓣的临床应用提供依据。 方法 50侧成成人尸体上肢标本,观测骨间前动脉腕背支的走行、分支、分布及吻合情况,设计腕背支及其分支为蒂骨膜瓣移位术。 结果 (1)腕背支距桡骨茎突上(6.0±1.0)cm处,贴骨间膜背份下行分为内、外侧终支,分别与尺、桡动脉的腕背支相吻合。腕背支近端两侧分出尺、桡侧骨皮支,二者降支循尺、桡骨背份走行,并分出骨膜支分布;(2)临床应用15例,术后3～5个月骨折愈合,腕关节功能恢复。 结论 以骨间前动脉腕背支为蒂的骨膜瓣可用于舟、月骨损伤修复。
Objective To observe the anatomical distribution of the dorsal carpal branch of anterior interosseous artery in order to provid anatomical basis in clinical Methods Fifty sides of cadaveric upper extremities were used in the study The origin, course, branches distributions and anastomosis of the dorsal carpal branch of anterior interosseous artery were dissected Results (1)The dorsal carpal branch at the styloid process upper(6 0±1 0)cm attach dorsal of interosseous membrane of forearm and sent off lateral and medial branch of end and anastomosis with dorsal carpal branch of ulnar and radial artery The perigee of dorsal carpal branch sent off bone skin branch at two sides, the both branch of descent went by dorsal of ulna and radius, sent off branch of periosteal distributions (2)Clinical application in 15 cases was healed and the excellent function of the radiocarpal joints was restored in 3～5 months postoperatively Conclusions The periosteal flap with dorsal carpal branch of anterior interosseous artery were used in repairing of scaphiod and lunate bone
出处
《中华显微外科杂志》
CSCD
北大核心
2000年第1期58-60,共3页
Chinese Journal of Microsurgery
关键词
舟骨
骨膜瓣
移位术
骨不连
骨缺损
Scaphoid bone
Periosteal flap
Transposition
Nonunion
Bone defect
