胸大肌胸肋部肌蒂胸肋骨(膜)瓣移位术的应用解剖  

Applied Anatomy of the Transposition of Partial Rib-sternal Bone Flappedicled with the Sternocostal Part of Pectoralis Major Muscle

作　　者：彭田红[1] 彭珍山[1] 张心宽[1] 万炜[1] 谭建国[1] 曾效恒[1] 

机构地区：[1]南华大学医学院人体解剖学教研室,湖南衡阳421001

出　　处：《解剖与临床》2006年第2期78-80,共3页Anatomy and Clinics

摘　　要：目的:为带胸大肌胸肋部肌蒂骨(膜)瓣转位术提供解剖学依据。方法:在30侧成人尸体标本上,观测了胸大肌胸肋部的形态、血供及其与胸肋骨的关系。结果:胸肋部肌腹上缘长(18.8±1.3)cm,下缘长(19.5±1.4)cm,中部长(20.2±1.2)cm,止腱长)1.1±0.2)cm,肌蒂游离长度为(16.8±0.9)cm,血供主要来自胸肩峰动脉胸肌支,其外径(1.8±0.2)mm,长度为(5.6±0.6)cm,其分支在肌内沿肌束走行。结论:可设计艺胸大肌胸肋部为蒂带肋软骨膜、胸骨骨瓣转位修复锁骨不连、锁骨肩峰端及顽固性肱骨骨不连。Objective：To provide the anatomical basis for the transposition of the partial ribsternal bone flap pedieled with the stemocostal part of pectoralis major muscle. Methods：The form, vessels and rib- sternal relation of the stemocostal part of pectomlis major muscle were observed on 30 sides of adult cadaver with red latex in artery. Results： The length of superior, middle and inferior border of sternocostal part is （18.8±1.3）cm, （19.5±1.4）cm and （20.2×1.2）cm respectively. The length of aponeurosis of insertion is （ 1.1×0.2）cm. The supply of blood is pectoral branches of thoracoacmmial artery with diameter（ 1.8×0.2）mm, length（5.6±0.6）cm, the muscular branch goes along bundle in muscle .Conclusion： The reversed transposition of the partial rib-sternal bone flap pedieled with the stemocostal part of pectoralis major muscle could be designed for repairing non-clavicle and the clavicular acmmial end and intractable non-union of the humerus.

关 键 词：胸大肌胸肋部 肌骨瓣 移位术 应用解剖 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]