桡动脉远端形态特点及其在组合移植再造拇手指中的应用  

The morphologic features of the distal radial artery and its clinical significance for thumb or finger reconstructing

作　　者：李景峰[1] 刘亦军 季晓石[1] 霍岩 

机构地区：[1]锦州市中心医院骨二科 [2]锦州市第二医院骨科,辽宁锦州121000

出　　处：《中国临床解剖学杂志》2006年第5期587-588,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的:介绍组合移植再造拇、手指重建血液循环的新方法。方法:根据桡动脉远端的形态特点,在组合移植再造拇、手指手术时,桡动脉掌浅支、桡动脉终支与两个移植组织的动脉分别吻合。结果:本组15例,再造31指全部成活,恢复感觉和手的捏持、握拳功能。结论:该方法具有操作方便,血管吻合通畅率高的优点。移植的两个组织具有独立的血液供应来源,一组出现循环危象需再次手术探查时,不会影响另一组移植组织的血液供应。Objective： To introduce a new method of reestablishing blood supply for reconstructed thumb or fingers. Methods： According to the anatomic features of the distal radial artery, the superficial palmar branch and the end branch of the radial artery were anastomosed with the arteries of transplanted tissues during the operation of thumb or finger reconstructing. Results： In total 15 cases, the transferred flaps survived well, and the reconstructed thumb or finger showed satisfied appearance and function, accompanying with fine sensory recovery. Conclusions： The method is simple and practical, the survive rate of anastomosing blood vessel is high. The transplanted tissues have independent blood supply, which means that blood supply from different transplanted tissues will not be affected even unexpected accidents happened in one group vessels.

关 键 词：桡动脉掌浅支 再造拇手指 组合移植 形态特点 远端 重建血液循环 移植组织 血管吻合 

分 类 号：R622.1[医药卫生—整形外科]