胫骨后肌神经血管蒂的应用解剖  

APPLIED ANATOMY OF NEUROVASCULAR PEDICLE OF TIBIALIS POSTERIOR MUSCLE

作　　者：吕伯实[1] 朱继明[1] 赵振美[1] 陈元 

机构地区：[1]泰山医学院解剖学教研室,泰安271000

出　　处：《解剖学杂志》1999年第2期172-174,共3页Chinese Journal of Anatomy

摘　　要：目的 :探讨胫骨后肌神经血管蒂为肌瓣移植提供解剖学资料。方法 :在 30侧人下肢标本上进行了显微解剖并观察了胫骨后肌神经、血管的关系。结果 :胫骨后肌神经起自胫神经 ,始部横径左侧 1.30± 0 .0 5( 1.0 2～ 1.68)mm;右侧 1.36± 0 .0 7( 1.0 2～ 1.98) mm。蒂长左侧 3.2 1± 0 .33( 1.82～ 5.60 ) cm;右侧 3.0 5± 0 .19( 1.80～ 4 .16)cm。伴行动脉外径左侧 1.36± 0 .12 ( 1.0 2～ 2 .38) mm;右侧 1.50± 0 .10 ( 1.0 2～ 2 .36) mm。结论 :选用以神经肌支和伴行血管为蒂的胫骨后肌神经血管蒂可转位修复因腓浅神经或腓深神经损伤引起的小腿外侧群。Objective: To explore the anatomy of the neurovasular pedicle of tibialis posterior muscle nerve for the treatment of the paralysis of leg lateral and anterior muscles. Methods: Nerve distribution and blood supply of the tibialis posterior muscle were microanatomically studied on 30 adult lower extremties specimens. Results: The nerve branch to the tibialis posterior muscle started from the tibialis nerve. The transverse diameter of the tibialis posterior muscle nerve was 1.30±0.05(1.02～1.68) mm on the left and 1.36±0.07(1.02～1.98) mm on the right. The length of the neurovascular pedicle was 3.21±0.33 (1.82～5.60) cm on the left and 3.05±0.19(1.80～4.16) cm on the right. The original outer diameter of the accompanied artery was 1.36±0.12(1.02～2.38) mm on the left and 1.50±0.10(1.02～2.36) mm on the right. Conclusion: Neurovasular pedicle can be taken from a piece of the tibialis posterior muscle for transferring in the treatment of the paralysis of leg lateral and anterior muscles caused by the superficial peroneal nerve and the deep peroneal nerve injury.

关 键 词：胫骨后肌 肌移植 应用解剖 神经血管蒂 

分 类 号：R329.48[医药卫生—人体解剖和组织胚胎学] R329.474[医药卫生—基础医学]