吻合血管腓骨修复股骨颈骨折与股骨头坏死的解剖学  

Anatomy of vascularized fibular graft for repair of femoral neck fracture and femoral head necrosis

作　　者：张国栋 张发惠 林永绥[2] 

机构地区：[1]南京军区临床解剖学研究中心,福州350025 [2]南京军区福州总医院骨科,福州350025

出　　处：《解剖学杂志》2006年第4期500-502,共3页Chinese Journal of Anatomy

摘　　要：目的：对吻合血管腓骨移植修复股骨颈骨折与股骨头缺血性坏死进行解剖学再探讨。方法：成人下肢标本,观测供区、受区血管的解剖学。结果：(1)观测了腓动脉及其伴行静脉起点的位置和外径及腓骨滋养动脉的分布。(2)观测了旋股外侧动脉及其升支的起点位置、干长和外径及其伴行静脉的外径。结论：旋股外侧血管升支为术式首选的受区血管,将腓动脉与旋股外侧血管的升支吻合,有利于重建股骨头颈的血供。Objective： To study the anatomy of vascularized fibular graft for repair of avascular necrosis of the femoral head and femoral neck fracture. Methods： Anatomical initiation and course, distribution of branches, external diameter and length of the blood vesseles of donor site and recipient site were observed on adult lower limb specimens. Results： （1） The position and external diameter of peroneal artery, its accompanying vein and the distribution of fibular nutrient artery were observed. （2） The position and length of stem, external diameter of lateral femoral circumflex artery, its ascending branch and external diameter of its accompanying vein were observed. Conclusion： The ascending branch of lateral femoral circumflex vessel is the first choice of the blood vessel recipientsite for this operation, which is inosculated with stem of peroneal vessel of fibular flap to rebuild blood supply of femoral head and neck.

关 键 词：腓骨移植 腓血管 旋股外侧血管 股骨颈骨折 股骨头坏死 

分 类 号：R687.3[医药卫生—骨科学] R322[医药卫生—外科学]