带蒂筋膜瓣肘关节成形术的应用解剖  

Applied Anatomy of Elbow Artkroplasty with Vascular Pedicle Fascial Flap

作　　者：郭进学[1] 薛克修[2] 任宗仁[3] 付升旗[1] 范锡印[1] 季米娜[1] 

机构地区：[1]新乡医学院解剖学教研室,453003 [2]新乡医学院第三附属医院儿外科 [3]洛阳医学专科学校附属医院外科

出　　处：《中华创伤杂志》1999年第2期139-140,共2页Chinese Journal of Trauma

摘　　要：目的为肘关节成形术填充物的选用提供解剖学基础。方法在４０侧经动脉灌注颜料的上肢标本上，解剖观测臂内、外侧筋膜，前臂后筋膜的血管来源、分支分布，血管蒂长度及筋膜瓣的切取面积等。结果观测以尺侧返动脉为蒂的臂内侧筋膜瓣，血管蒂长度为（４．０±１．０）ｃｍ，可切取面积为１２ｃｍ×５ｃｍ；以桡侧返动脉为蒂的臂外侧筋膜瓣，血管蒂长度为（３．２±１．３）ｃｍ，可切取面积为１２ｃｍ×５ｃｍ；以骨间后动脉为蒂的前臂后筋膜瓣，血管蒂长度为（３．２±１．３）ｃｍ，可切取面积为１３ｃｍ×５ｃｍ．结论带血管蒂的筋膜瓣血管蒂长、血供丰富、可取面积大、质地坚韧致密，可作为财关节成形术的填充物。Objective To settle anatomic basis for the selection of padding materials inarthroplasty of the elbow Methods On 40 arm specimens infused with dye through arteries,the blood suply and distribution branch vessels,the length of vessel pedicles and the excisingarea of fascial flaps were observed anatomically in the fascia of interior and exterior arms, aswell as in the fascia of posterior foreanns. Results When the fascial flaps of the interior armsand the ulnar recurrent were taken for pedicles for elbow arthroplasty, the length ofvessel pedicle was (4.0±1．0）cm and the possible excising area could be 12cm ×5cm. When thethe fascial flaps of the exterior arms and the ratal recurrent artery were tsken, the length was(3.2 ± 1.3)cm, and the area could be 12cm × 5cm. And when the fascial flaPS of posteriorforearm and the posterior interosseous artery were taken, the length was (3.2 ± 1.3)cm, and thearea could be 13cm×5cm. Thee fascial flaps possessed long vessel pedicles with abundance ofblood supply, for available exdsing area and dense and tenacious texture.Conclusions Suchfascial flaps with vessel pedicles can be used as padding materials in elbow arthroplasty.

关 键 词：外科皮瓣 肘关节成形术 带蒂筋膜瓣 

分 类 号：R687.41[医药卫生—骨科学] R622.1[医药卫生—外科学]