阔筋膜张肌肌皮瓣的解剖研究与临床应用  

Anatomical study and clinical applications of the tensor fascia lata myocutaneous flap

作　　者：王忠信 李森恺[2] 陈树廷 严义坪[2] 李养群[2] 赵振民[2] 

机构地区：[1]内蒙古自治区哲盟地区医院,028000 [2]中国医学科学院

出　　处：《中华整形外科杂志》2000年第1期12-13,共2页Chinese Journal of Plastic Surgery

摘　　要：目的　探索应用阔筋膜张肌肌皮瓣带蒂移转中 ,部分肌皮瓣发生血供障碍的原因。方法　对 16具 3 2侧用红色乳胶灌注的贮存成人尸体标本 ,进行解剖研究。结果　 12具 2 2侧肌皮瓣供血动脉走行在肌肉内 ;另有 2具 2侧肌内供血动脉与肌肉前缘较大分支并存 ;3具 4侧肌内供血动脉与肌肉深面疏松结缔组织内较大分支并存 ;3具 4侧供血动脉走行在肌肉浅面皮下组织内。解剖研究后临床又应用 8例 ,妥善保护了存在于肌肉前缘及其深浅面的血管 ,手术均获成功。结论该肌皮瓣的供血动脉不仅存在于肌肉内 ,有的在肌肉前缘或深面有较大分支 ,有的存在于肌肉浅面皮下组织内 ,手术中须避免其受到损伤 ,以确保肌皮瓣血供。Objective\ To explore the causes of blood circulation problems in 3 of 6 cases of pedicled tensor fascia lata myocutaneous flap transferring.Methods\ Anatomical study was performed on 16 cadavers (32 sides) after red emulsion injection.Results\ On 22 sides of 12 cadavers,the nutrient arteries lie in the muscle;on 2 sides of 2 cadavers,intramuscular nutrient arteries coexist with the big branches anterior to the muscle;on 4 sides of 3 cadavers,intramuscular nutrient arteries coexist with the big branches in the loose connective tissue deep to the muscle;on 4 sides of 3 cadavers, the nutrient arteries locate in the subcutaneous layer.According to the anatomical observations,much attention were paid to protect the vessels deep,superficial and anterior to the muscle during surgery,which resulted in successful clinical applications in 8 cases. Conclusions\ The supplying arteries of the tensor fascia lata myocutaneous flap may exit not only intramuscularly,but also deep,superficial and anterior to the muscle.Special attention should be paid to them during operation.\;

关 键 词：阔筋膜张肌皮瓣 解剖学 临床应用 

分 类 号：R622[医药卫生—整形外科]