腓骨瓣的解剖学研究  

Anatomic study of fibular flap

作　　者：王卫红[1] 刘宗良[2] 邹智荣[2] 许彪[1] 

机构地区：[1]昆明医学院附属口腔医院颌面外科 [2]昆明医学院基础医学系人体解剖学教研室,昆明650031

出　　处：《国际口腔医学杂志》2011年第5期509-510,514,共3页International Journal of Stomatology

基　　金：昆明医学院科学研究基金资助项目(V2-20)

摘　　要：目的了解腓骨瓣的局部解剖,为临床腓骨瓣修复颌骨缺损提供理论基础。方法将6具经体积分数10%甲醛固定的成人小腿标本逐层解剖、观察、测量和摄像。结果腓动脉起始外径为(2.93±0.47)mm,腓骨头尖距腓动脉起始的垂直距离为(41.75±3.17)mm,腓骨头尖距穿支血管的垂直距离为(166.67±17.23)mm。腓动脉起于胫后动脉。结论腓动脉走行恒定,起始外径较粗,穿支皮瓣相对恒定,腓骨肌皮瓣适合修复颌骨缺损。Objective To describe the anatomy of fibular flap to provide anatomical basis for reconstruction of maxillomandibular defect.Methods Six adult lower leg specimens fixed by 10% formalin were dissected layer by layer,and then observing,measuring and taking photographs.Results The original external diameters of peroneal artery were（2.93±0.47） mm,the perpendicular lengths from fibular head to original peroneal artery and to fibular perforator vessel were（41.75±3.17） mm and（166.67±17.23） mm,respectively.All peroneal arterys originate from the posterior tibial artery.Conclusion Vascularised fibular flap adapts to maxillomandibular reconstruct due to its variable course of peroneal artery and wide original external diameters relatively,as well as invariable perforator vessel relatively.

关 键 词：腓骨瓣 穿支皮瓣 解剖 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]