摘要
目的 :总结报道股前外侧皮瓣皮血管起始走行的解剖学特点和规律 ,并作出临床分型。方法 :在 15 6例股前外侧皮瓣移植手术中 ,对皮血管在旋股外侧动脉降支干上的起源、是否穿肌、穿肌的长短深浅、皮血管浅出点的高低等解剖学特点进行观察总结。结果 :股前外侧皮瓣皮血管的形式主要有 8种 ,可分五个类型 :Ⅰ股皮穿支型 (5 5 .1% )包括深浅两个亚型 ;Ⅱ肌间隙皮支型 (2 6.9% ) ;Ⅲ混合型 ;Ⅳ无粗大皮支型 ;Ⅴ高位皮血管型 (2 1.5 % )。结论 :(1)尽管股前外侧皮瓣皮血管的形式和类型有多种 ,但作为皮血管的主干—旋股外侧动脉降支 ,在绝大多数个体中 ,不仅恒定存在 ,而且肯定有一优势皮支发出。 (2 )皮瓣移植术遇到无粗大皮支型时 ,不必放弃手术 ,改用高位皮血管 ,仍可使皮瓣移植获取成功。
Objective:To investigate the anatomic characteristics of the cutaneous blood vessel of anterolateral femoral flap and classify it.Methods:The origins of cutaneous blood vessels from lateral femoral circumflex arteries,they passed through muscles or not,the lengths and depths when they were under the muscles and the position where they derived from the muscles were observed in 156 cases of anterolateral femoral flap transplantation.Results:There were eight kinds of cutaneous blood vessels in anterolateral femoral flap,and they were classified into five types: Ⅰ.Cutaneous branch type,including superficial and deep isoforms(55.1%); Ⅱ.Intermuscular cutaneous branch type( 26.9%) ;Ⅲ.Mixed type;Ⅳ.Without large cutaneouse branch type;Ⅴ.Higher position cutaneous blood vessel type (21.5%) .Conclusion:①Though the types of the cutaneous blood vessels of anterolateral femoral flap is different,in most individuals the descending branch of lateral femoral circumflex artery as a main branch exits and sends out a dominant branch constantly.②If the large cutaneous branch can not be found during transplantation,we can use cutaneous blood vessel with higher position instead of giving up the operation.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2001年第3期197-199,共3页
Chinese Journal of Clinical Anatomy
关键词
股前外侧皮瓣
皮血管
类型
解剖学
分型
surgery flap/blood supply
thigh/surgery
anterolateral femoral flap
