中国临床解剖学杂志 ›› 2020, Vol. 38 ›› Issue (2): 135-137.doi: 10.13418/j.issn.1001-165x.2020.02.005

• 穿支皮瓣 • 上一篇    下一篇

半膜肌腘窝穿支皮瓣的解剖学基础

胡德庆1, 周 晓2, 陈 鹏1, 张文明1   

  1. 1.福建医科大学附属第一医院骨科,  福州   350005;    2.无锡市第九人民医院手外科,  江苏   无锡    214062
  • 收稿日期:2019-12-05 出版日期:2020-03-25 发布日期:2020-03-30
  • 通讯作者: 陈鹏,E-mail:chenpengfygk@163.com
  • 作者简介:胡德庆(1987-),主治医师,博士,研究方向:骨、关节、软组织损伤与修复,Tel:18050348001,E-mail:hudeqing1987@126.com
  • 基金资助:
    福建省自然科学基金资助(2017J05122)

Anatomical study of the semimembranosus popliteal perforator flap

HU De-qing1, ZHOU Xiao2, CHEN Peng1, ZHANG Wen-ming1   

  1. 1. Department of Orthopedics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China. 2. Department of Hand Surgery, Wuxi Ninth People Hospital, Wuxi 214062, China.
  • Received:2019-12-05 Online:2020-03-25 Published:2020-03-30

摘要: 目的 探讨半膜肌腘窝穿支的解剖学特征,为临床膝周软组织缺损的修复提供形态学依据。  方法 在30侧动脉内灌注红色乳胶的成人下肢标本上,通过显微解剖、摹拟手术等方法,重点观测: ①半膜肌营养血管的起源、走行、分支与分布; ②半膜肌腘窝穿支与邻近穿支的吻合特点。  结果 半膜肌腘窝穿支于胫骨髁上13.5 cm由半膜肌肌支发出,穿过深筋膜至皮下,并分出众多的细小血管与腘动脉直接皮支、腘窝内侧皮动脉吻合。外径和长度分别为(0.7±0.3) mm、(1.1±0.4) cm。  结论 以半膜肌腘窝穿支为蒂设计皮瓣,可转位或V-Y推进修复膝周软组织缺损。

关键词: 半膜肌,  腘窝,  穿支皮瓣,  组织缺损

Abstract: Objective To explore the anatomical characteristics of the semimembranosus popliteal perforators, providing morphological basis for the reconstruction of soft tissue defects around the knee joint. Methods After 30 sides of adult lower extremity specimens were perfused with red latex,  the following contents were observed emphatically under a surgical magnifier:①The origin, courses, branches, and distribution of the nutrient vessels of the semimembranosus muscle. ②The anastomosis characteristics of semimembranosus popliteal perforators and adjacent perforators. Results The semimembranosus popliteal perforators, with an outer diameter of (0.7±0.3)mm and a length of (1.1±0.4)cm on average, commonly originated from the semimembranosus muscular branch at 13.5cm proximal to the tibial condyle, and then punctured out of the deep fascia towards the subcutaneous plane, and finally sent out numerous tiny vessels to form anastomosis with the direct cutaneous perforators of the popliteal artery as well as the medial popliteal cutaneous arteries. Conclusions The flap pedicled with the semimembranosus popliteal perforators could become a supplement for repairing the soft tissue defects around the knee joint in the form of transposition or V-Y advancement.

Key words: Semimembranosus muscle,  Popliteal fossa,  Perforator flap,  Soft tissue defect

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