带血管蒂枕骨骨膜瓣行枕颈融合的应用解剖  

Applied Anatomy of Periosteum Flap of Occipital Bone Pedicled With the Blood Vessel for Occipito-Cervical Fusion

作　　者：彭田红[1] 李严斌[1] 彭珍山[1] 欧阳四新[1] 洪丽[1] 张心宽[1] 王文军[2] 

机构地区：[1]南华大学医学院解剖学教研室,湖南衡阳421001 [2]南华大学第一附属医院

出　　处：《南华大学学报（医学版）》2005年第4期482-484,共3页Journal of Nanhua University(Medical Edition)

基　　金：湖南省教育厅课题;编号:03C417

摘　　要：目的为带血管蒂枕骨骨模瓣行枕颈融合术提供解剖学基础. 方法在40侧经动脉罐注乳胶的成人尸体标本和8例头颈铸型标本(5例保留骨胳)上,解剖并观测枕骨骨膜的血供情况,并在标本上模拟术式设计.结果枕骨骨膜血供丰富,枕动脉的枕支和降支及椎动脉第三段各发出到枕骨的骨膜支为11.0±1.5、 2.5±1.0、 3.8±0.9支,骨膜支的外径为0.3～0.8 mm,骨膜支相互吻合成网;枕动脉枕支可游离长度为3.7±0.3 cm,外径2.1±0.2 mm;枕动脉降支可游离长度为2.1±0.2 cm,外径1.5±0.2 mm;椎动脉可游离长度为3.6±0.2 cm,外径2.6±0.4 mm. 结论设计带血管蒂枕骨骨膜瓣转位行枕颈融合术具有可行性.Objective To provide anatomical basis of periosteum flap of occipital bone pedicled with the blood vessel for occipito - cervical fusion. Methods The blood vessels distribution of the periosteum flap of occipital bone was observed on 40 adult cadavers perfused with latex and 8 cephalocervical vascular castings（5 castings preserved bones）. The operation was imitated on 2 cadavers. Results The blood supply of the occipital periosteum was abundant, 11.0 ± 1.5,2.5 ± 1.0,3.8 ± 0.9 branches of occipital periosteum forked out of occipital branches and descending branch of occipital artery and 3 rd segment of vertebral artery, the diameter of branches of the occipital periosteum was 0.3 - 0.8 mm, the branches of the occipital periosteum inosculated into artery network each other; the length of occipital branches,descending branch and 3 rd segment of vertebral artery was dissociated 3.7 ± 0.3 cm,2.1 ± 0.2 cm,3.6 ± 0.2 cm respectively and the diameter was 2.1 ± 0.2 mm, 1.5 ± 0.2 mm,2.6 ± 0. 4 mm separately . Conclusion Periosteum flap of occipital bone pedicled with the blood vessel could be used in the surgical procedure of occipito- cervical fusion.

关 键 词：枕骨骨膜瓣 血管 枕颈融合 应用解剖 

分 类 号：R323.1[医药卫生—人体解剖和组织胚胎学]