趾足底固有动脉趾端动脉弓及其分支的显微解剖

唐林峰; 巨积辉; 刘跃飞; 周荣; 胡昌庆; 杨开航; 郭全伟; 侯瑞兴

doi:10.13418/j.issn.1001-165x.2017.04.004

中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (4) : 376-379. DOI: 10.13418/j.issn.1001-165x.2017.04.004

应用解剖

趾足底固有动脉趾端动脉弓及其分支的显微解剖

唐林峰，巨积辉，刘跃飞，周荣，胡昌庆，杨开航，郭全伟，侯瑞兴

作者信息 +

The microanatomical study of the plantar artery arch artery and the tip arch artery of the second toe

TANG Lin-feng, JU Ji-hui, LIU Yue-fei, ZHOU Rong, HU Chang-qing, YANG Kai-hang, GUO Quan-wei, HOU Rui-xing

Author information +

文章历史 +

摘要

目的　解剖观测趾足底固有动脉趾端动脉弓及其分支的解剖学特点。方法　选取新鲜成人足标本8只，分别经足背动脉灌注红色乳胶，对第2趾趾足底固有动脉进行显微解剖，观察趾足底固有动脉弓的出现概率，位置及其口径，趾端动脉弓发出的弓上动脉的起始部位，走行方向，分支数目及血管口径情况。结果　第2趾趾足底固有动脉趾端动脉弓恒定，动脉弓的外径为0.5~0.8 mm，平均外径为0.64 mm，动脉弓距趾端的距离为9.5~13.0 mm，平均为11.1 mm。动脉弓上发出5支恒定的分支，即趾端弓上动脉，我们将其命名为第1~5支趾端弓上动脉（由胫侧至腓侧）。结论第2趾趾端动脉弓及其发出的弓上动脉解剖恒定，可以采用弓上动脉为蒂的微型轴型皮瓣改善第2足趾再造后外形。

Abstract

Objective To investigate blood supply features of the plantar digital artery toetip arch and arch branch artery. Methods 8 fresh adult foot specimens were selected and the red latex was perfused from the dorsal artery, then the second toe plantar arteries were dissected to observe the occurrence rate of the plantar artery arch, location and vascular caliber, the origin of the the plantar artery arch artery, direction of travel, number of branches and vessel diameter. Results The intact plantar toetip arches were roughly constant. The overall average external diameter for this structure in the second toe was 0.64 mm, ranging from 0.5 mm to 0.8 mm, the overall average distance from the distal toetip skin to the plantar arch was 11.1mm, ranging from 9.5 mm to 13.0 mm. Dissection showed that all plantar arches had five main arch branches. In order to facilitate description,we named the five main arch branches as the first,second,third,fourth and fifth arch branch from tibial side to fibular side of the second toe. Conclusion The location and number of the plantar digital artery toetip arch artery was relatively constant, suggesting we could use the mini-axial flap pedicled with the toetip arch artery for aesthetic refinements in reconstructed fingers.

导出引用

唐林峰，巨积辉，刘跃飞，周荣，胡昌庆，杨开航，郭全伟，侯瑞兴. 趾足底固有动脉趾端动脉弓及其分支的显微解剖[J]. 中国临床解剖学杂志. 2017, 35(4): 376-379 https://doi.org/10.13418/j.issn.1001-165x.2017.04.004

TANG Lin-feng, JU Ji-hui, LIU Yue-fei, ZHOU Rong, HU Chang-qing, YANG Kai-hang, GUO Quan-wei, HOU Rui-xing. The microanatomical study of the plantar artery arch artery and the tip arch artery of the second toe [J]. Chinese Journal of Clinical Anatomy. 2017, 35(4): 376-379 https://doi.org/10.13418/j.issn.1001-165x.2017.04.004

参考文献

[1] Zhao JY, Tien HY, Abdullah S, et al. Aesthetic refinements in second toe-to-thumb transfer surgery[J]. Plast Reconstr Surg, 2010, 126(6):2052-2059.
[2] Woo SH, Lee GJ, Kim KC, et al. Cosmetic reconstruction of distal finger absence with partial second toe transfer[J]. J Plast Reconstr Aesthet Surg, 2006, 59(4):317-324.
[3] Wei FC, Chen HC, Chuang DC, et al. Aesthetic refine-ments in toe-to-hand transfer surgery[J]. Plast Reconstr Surg, 1996, 98(3):485-490.
[4] Wei FC, Yim KK. Pulp Plasty after toe-to-hand transplantation[J]. Plast Reconstr Surg, 1995, 96(3):661-666.
[5] Huang D, Wang HG, Wu WZ, et al. Functional and aesthetic results of immediate reconstruction of traumatic thumb defects by toe-to-thumb transplantation[J]. Int Orthop，2011，35(4):543-547.
[6] Zhang JL, Xie ZR, Lei YW, et al. Free second toe one-stage-plasty and transfer for thumb or finger reconstruction[J]. Microsurgery, 2008, 28(1):25-31.
[7] Paweletz N. Birth of the life sciences in The Netherlands and Belgium[J]. Nat Rev Mol Cell Biol, 2001, 2(11):857-863.
[8] Salmon M. Arte res de la peau:e tude anatomique et chirurgicale[M].Paris:Masson,1936.
[9] Salmon M. Arte res des muscles de la te te et du cou[M].Paris:Masson,1936.
[10] Trueta J, Harrison MHM. The normal vascular anatomy of the femoral head in adult man[J].J Bone Joint Surg,1953,35B(3):442-450.
[11] Rees MJ, Taylor GI. A simplified lead oxide cadaver injection technique[J].Plast Reconstr Surg,1986,77(1):141-145.
[12] Hamada N, Ikuta Y, Ikeda A. Arteries to the great and second toes based on three-dimensional analysis of 100 cadaveric feet[J]. Surg Radiol Anat, 1993,15(3):187-192.
[13] Hwang K, Ki SH, Choi HG, et al. Arterial anatomy of the second toe nail bed related to toenail transfer[J]. Microsurgery, 2010, 30(8):646-648.
[14] Chaudakshetrin P, Kumar VP, Satku K, et al. The arteriovenous pattern of the distal digital segment[J]. J Hand Surg,1988, 13(2):164-166.
[15] 陆俭军，谭海涛，江建中，等. 第二足趾游离移植再造小儿手指[J].中华显微外科杂志，2011，34(5)：370-372.
[16] 黄东，牟勇，黄永军，等. 急诊第二足趾末节游离移植再造拇指指尖的临床研究[J].中华显微外科杂志，2009，32(6)：455-457.
[17] 侯书健，程国良，方光荣，等. 双侧第二足趾移植修复全手及全手指缺损[J].中华骨科杂志，2005, 25(4)：205-207.
[18] 程国良.足趾移植拇手指再造的目的、手术方案与技巧商榷[J].中华手外科杂志，2006, 22(1)：6-7.
[19] 黄海东，胡修德，滕超，等.指腹梭形皮瓣转移整形再造指[J].中华手外科杂志，2009，25(1)：38-39.