带血管桥的多根肋骨瓣修复手掌毁损伤的解剖学研究  

Anatomic study on repair of severe palm injury using multi-rib flap with vessel bridges

作　　者：余贵华[1] 喻爱喜[1] 陈振光[1] 张发惠 郑晓辉[1] 张建华[1] 

机构地区：[1]武汉大学中南医院骨科,武汉大学医学院显微外科研究所,武汉430071 [2]南京军区临床解剖研究中心

出　　处：《中华手外科杂志》2005年第3期175-176,共2页Chinese Journal of Hand Surgery

摘　　要：目的为设计一种新术式(带血管桥的多根肋骨瓣)修复手掌毁损伤提供解剖学依据。方法在30侧经动脉灌注红色乳胶成人背部标本上,观察第7、8、9肋肋角外侧8cm段的形态结构及肋骨间血管、神经在该段的走行、分支、分布和吻合;在2侧尸体标本上模拟手术。结果该段的肋骨高[(1.4±0.2)cm,x±s,下同],肋间隙宽(1.0±0.3)cm,肋间动脉、静脉于该段的起始外径分别为(1.4±0.2)mm、(2.1±0.4)mm,终末支外径分别为(1.0±0.2)mm、(1.3±0.3)mm。结论设计带血管桥的多根肋骨瓣修复手掌毁损伤在解剖学上具有可行性。Objective To provide a new therapeutic method for severe palm injury. Methods The shape of the rib segment which was 8cm long starting at the costal cormu in the 7th 8th 9th rib,and the course,branch,distribution,anastomosis of the intercostal vessel by the rib segment were observed in 30 adult back specimens injected with red latex in artery;simulated operations were performed in two specimens. Results The height and thickness of the rib segment was(1.4±0.2)cm and (0.6±0.1)cm.The intercostal vessels were in the costal grooves of the rib segment;at the medial end of the segment,the outer diameter of the intercostal artery,vein were respectively(1.4±0.2)mm, (2.1±0.4)mm;at the lateral end of the segment,those were(1.0±0.2)mm, (1.3±0.3)mm.Conclusion It is feasible on anatomic to design multi-rib flap with vessel bridges to repair severe palm injury.

关 键 词：手掌毁损伤 骨瓣修复 血管桥 解剖学研究 多根 解剖学依据 经动脉灌注 形态结构 模拟手术 尸体标本 肋间动脉 肋骨瓣 新术式 肋间隙 设计 外径 

分 类 号：R687[医药卫生—骨科学] R322[医药卫生—外科学]