斜方肌下部肌瓣转位重建屈肘屈指功能的应用解剖  

Applied anatomy of lower trapezius flap transferred to reconstruct flexional functions of elbow and phalanges

作　　者：王珊[1,2,3,4] 于涯涛[1,2,3,4] 徐达传[1,2,3,4] 顾立强 杜建平 

机构地区：[1]第一军医大学解剖学教研室 [2]解放军福州医高专解剖学教研室 [3]解放军大连医高专解剖学教研室 [4]南方医院创伤骨科

出　　处：《中国临床解剖学杂志》1999年第1期18-19,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的：为斜方肌下部肌瓣转位重建屈肘屈指功能提供解剖学基础。方法：在３４侧经动脉内灌注红色乳胶的成人标本上，解剖观测斜方肌下部的形态、血供及神经支配。结果：①斜方肌下部肌质部分长２４．７±２．７ｃｍ、宽９．８±１．３ｃｍ、厚０．４±０．１ｃｍ。其远端移行为腱膜，长２．８±０．８ｃｍ、宽１．５±０．４ｃｍ、厚０．０３±０．０１ｃｍ；②肩胛背动脉内侧终末支的后支营养斜方肌下部，外径１．２±０．３ｍｍ，长度１．７±０．８ｃｍ；③斜方肌下部受副神经支配。结论：在斜方肌具有Ⅳ级肌力的前提下。Objective: To provide anatomic basis for lower trapezius flap transferred to reconstruct flexional functions of elbow and phalanges. Methods: ①The morphology, vessels and nerve of lower part of trapezius muscle were observed and measured on 34 adult specimens perfused red latex via artery.Results: The lower part of trapezius muscle is 24.7±2.7 cm long, 9.8±1.3 cm wide and 0.4±0.1 cm thick. Its distal was aponeurosis with the corresponding numerical values 2.8±0.8 cm, 1.5±0.4 cm and 0.03± 0.01 cm; ②The posterior branch of medioterminal branch of dorsal scapular artery nourished the lower part of trapezius muscle, and was 1.7±0.8 cm long with the diameter of 1.2±0.3 mm; ③The lower part of trapezius muscle was supplied by accessory nerve. Conclusions:If the myodynamic level of trapezius muscle is IV, this type of flap pedicled with posterior branch of medioterminal branch of dorsal scapular artery can be designed and could be used to reconstruct the flexional functions of elbow and phalanges.

关 键 词：斜方肌下部肌瓣 屈肘 屈指 重建术 应用解剖 

分 类 号：R658.205[医药卫生—外科学] R323.71[医药卫生—临床医学]