前臂后外侧穿支皮瓣游离移植修复手指皮肤缺损的应用解剖

赵民; 吴金英; 袁作雄; 田德虎; 邵新中; 李大村; 李建峰; 刘井达; 赵亮; 李海雷; 王晓磊; 张文桐; 张涛

doi:10.13418/j.issn.1001-165x.2017.06.002

中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (6) : 607-609. DOI: 10.13418/j.issn.1001-165x.2017.06.002

应用解剖

前臂后外侧穿支皮瓣游离移植修复手指皮肤缺损的应用解剖

赵民¹，　吴金英²，　袁作雄²，　田德虎³，　邵新中³，　李大村¹，　李建峰¹刘井达¹，　赵亮¹，　李海雷¹，　王晓磊¹，　张文桐¹，　张涛¹

作者信息 +

Applied anatomy of using posterior-lateral forearm perforator flap to repair soft tissue defects in the finger

ZHAO Min¹, WU Jin-ying², YUAN Zuo-xiong², TIAN De-hu³, SHAO Xin-zhong³, LI Da-cun¹, LI Jian-feng¹, LIU Jing-da¹, ZHAO Liang¹, LI Hai-lei¹, WANG Xiao-lei¹, ZHANG Wen-tong¹, ZHANG Tao¹

Author information +

文章历史 +

摘要

目的　介绍前臂后外侧穿支皮瓣游离移植修复手指皮肤缺损的应用解剖。方法　解剖观测40侧成人尸体上肢标本，在手术显微镜下进行局部解剖。观测前臂后外侧皮肤的营养动脉、回流静脉、神经支配。结果　自桡骨Lister结节及肱骨外侧髁连线中点附近指伸肌和桡侧伸腕肌肌间隙内有一恒定的皮支动脉营养前臂后外侧皮肤，该动脉有两条伴行静脉，神经支配为前臂后皮神经分支，血管蒂长度为（4.12±0.26）cm，血管起始处外径为（0.91±0.07）mm，管径与指动脉相仿。结论　前臂后外侧可以形成以桡骨lister结节及肱骨外侧髁连线中点附近的指伸肌和桡侧腕伸肌肌间隙穿支为蒂的穿支皮瓣游离移植修复手指皮肤缺损。

Abstract

Objective　To study the applied anatomical basis of using the posterolateral forearm free perforator flap to repair soft tissue defects in the finger.　Methods　Forty upper limb specimens were dissected. The origin, distribution and anastomosis of the vessels, nerves in the posterior-lateral forearm were observed with regional anatomy using surgical magnifying glass.　Results　At the midpoint of line from the radial Lister nodule and the humeral condyle , between the septum of extensor digitorum muscle and extensor carpi radialis muscle, there was an intermuscular septum cutaneous perforator constantly present with two accompanying veins. The posterior antebrachial cutaneous nerve innervated this area. The length of perforator artery pedicle is （4.12±0.26）cm，and the diameter was （0.91±0.07）mm at the origin, which was similar to the digital artery.　Conclusion　The posterior-lateral forearm can be applied as a free perforator flap pedicled by the intermuscular septum cutaneous perforator artery to repair soft tissue defects in the finger.

导出引用

赵民,吴金英,袁作雄,田德虎,邵新中,李大村,李建峰,刘井达,赵亮,李海雷,王晓磊,张文桐,张涛. 前臂后外侧穿支皮瓣游离移植修复手指皮肤缺损的应用解剖[J]. 中国临床解剖学杂志. 2017, 35(6): 607-609 https://doi.org/10.13418/j.issn.1001-165x.2017.06.002

ZHAO Min, WU Jin-ying, YUAN Zuo-xiong, TIAN De-hu, SHAO Xin-zhong, LI Da-cun, LI Jian-feng, LIU Jing-da, ZHAO Liang, LI Hai-lei, WANG Xiao-lei, ZHANG Wen-tong, ZHANG Tao. Applied anatomy of using posterior-lateral forearm perforator flap to repair soft tissue defects in the finger[J]. Chinese Journal of Clinical Anatomy. 2017, 35(6): 607-609 https://doi.org/10.13418/j.issn.1001-165x.2017.06.002

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