摘要
目的 为以骨间返血管或桡侧返血管为蒂的尺桡骨骨膜瓣逆行转位修复肱骨远段骨不连提供解剖学依据。方法 在 30侧成人上肢标本上观测了骨间返、桡侧返及桡侧副血管来源、走行、分布、吻合、血管外径、长度及与桡神经的关系。结果 骨间返动脉起于外上髁下 (6 5 1± 9 5 )mm ;起点外径 1(4 7± 0 2 )mm ;桡侧返动脉起于外上髁下 (6 3 7± 7 8)mm。起点外径 (2 1± 0 3)mm ;桡侧副动脉背侧支起于外上髁上 (10 4 5± 8 9)mm ,外径 (1 4 8± 0 2 2 )mm。三者吻合形式有三种“倒Y”、三点汇合、网状吻合。结论 以桡侧返。
Objective This paper provides an anatomical and theoretic basis for the reverse transposition of proximal ulnar or radial periosteal flap to repair non-union in distal humerus.Methods The origin,course,meanwhile,the outside diameter and length of relevent vessels were measured,on 30 upper limb cadaveric specimens.Results The recurrent interosseous,radial recurrentand the posterior branch of radial collateal arteries,their origin outside diameter and length from the origin to the humerus extermal epicondyle were (1 47±0 2)mm,(65 1±9 5)mm,(2 1±0 3)mm,(63 7±0 8)mm,(1 48±0 22)mm and (104 5±8 9)mm,respectively.Anastomoses pattern existed 3 types: in vicinity of the external epicondyle'Reverse Y'73 3%(22 cases).'Meeting in one point 13 3%(4 cases)'.'Arteries networks'13 3%(4 cases).Conclusions It's possible that the reverse transposition of proximal ulnar or radial periostea flap pedicled with recurrent interosseous membrane or radial recurrent vessel for repairing non-union in distal humerus.
出处
《中国医师杂志》
CAS
2002年第6期628-630,共3页
Journal of Chinese Physician
关键词
肱骨骨折
骨间返动脉
桡侧返动脉
骨膜瓣
Humerus fracture
Recurrent interosseous artery
Radial recurrent artery
Periosteal flap
