胸锁乳突肌锁骨头蒂半片锁骨瓣修复锁骨肩峰端的应用解剖学  

Applied Anatomy of the Partial Clavicular Bone Flap with the Pedicle of Clavicular Head of Sternocleidomastoid Muscle Repairing the Acromion Portion

作　　者：蔡建通 许卫红[1,2,3] 郑和平 

机构地区：[1]福建省石狮市医院骨科 [2]福建医科大学附属第一医院骨科 [3]解放军福州医学高等专科学校解剖学教研室

出　　处：《福建医科大学学报》1998年第3期243-245,共3页Journal of Fujian Medical University

摘　　要：目的为修复锁骨中远端骨不连提供新的手术方法。方法在４０侧成人颈部标本上，观察胸锁乳突肌锁骨头的形态、血供及其与锁骨的关系。结果锁骨头无损伤可分离长度为８．１ｃｍ，其主要血供为甲状腺上动脉胸锁乳突肌支，入肌点在该肌前缘后１．７ｃｍ、距锁骨上缘６．８ｃｍ处。Objective\ In order to provide a new operation style for repairing non union in middle and lateral part of the clavicle.\ Methods\ The form of vessels and relation with the clavicle and the clavicular head of sternocleidomastoid muscle were observed on 40 sides of adult cadavers.\ Results\ The length that the clavicular head can be separated without scathe is 8.1 cm.\ The blood supply is sternocleidomastoid branches of superior thyroid artery,the point of the artery inserting into the muscle is 1.7 cm behind the anterior border and 6.8 cm above the superior border of clavicle.\ Conclusion\ A new operation style for repairing non union in middle and lateral part of the clavicle,may be devised to provide partial clavicular bone flap with the pedicle of clavicular head of sternocleidomastoid muscle.

关 键 词：胸锁乳突肌 肌骨瓣 骨不连 锁骨 肩峰端 修复 

分 类 号：R687.3[医药卫生—骨科学] R322.71[医药卫生—外科学]