肘下动脉穿支皮瓣的解剖学观察  

Anatomical observation of the inferior cubital artery perforator flap

作　　者：张志宏 郑和平 林涧[2] 林加福 

机构地区：[1]福建医科大学福总临床医学院骨科研究所,福建福州350025 [2]浙江省台州市博爱医院显微外科,浙江台州318050

出　　处：《解剖学研究》2012年第2期114-116,F0003,共4页Anatomy Research

基　　金：浙江省科技计划项目(2011C33022)

摘　　要：目的为肘下动脉穿支皮瓣移位修复肘部软组织缺损提供解剖学基础。方法在30侧经动脉内灌注红色乳胶的成人上肢标本上观测肘下动脉的起源、走行、分支与分布,另在1侧新鲜标本上进行摹拟手术设计。结果肘下动脉在肱骨内、外上髁连线中点下方(3.98±0.86)cm处,自桡动脉(占50%)、桡侧返动脉(占40%)和肱动脉(占10%)起始后,斜向外下方走行,其轴线位于肘下动脉的起始处与桡骨背侧结节(Lister结节)的连线上。肘下动脉向远侧分布达15 cm,并与桡动脉的远侧穿支、桡侧返动脉的肘外侧部皮支相互吻合。肘下动脉外径0.8 mm。结论以肘下动脉为蒂设计皮瓣,局部转移可修复肘部各方的软组织缺损。Objective To provide anatomical basis for inferior cubital artery perforator flap which could be used in repairing soft-tissue defects around the elbow joint.Methods 30 specimens of adult upper limbs perfused with red latex were adopted.We had observed and measured the course,origin,distribution and branches of the inferior cubial artery precisely.Mimic operation was performed on one fresh specimen.Results The origin of the inferior cubital artery was determined to be（3.98±0.86）cm inferior to the midpoint of the line between medial epicondyle and lateral epicondyle of humerus in the forearm,and the diameter of the artery was found to be 0.8mm.The inferior cubital artery can be original either from radial artery（50%） or radial recurrent artery（40.00%） or branchial artery（10%）.The surface projection of the inferior cubrial artery was 15 cm form the origin to the dorsal tubercle of radius.The branches of inferior cubital artery were widely anastomosed with the proximal radial artery perforators and radial recurrent artery perforators.Conclusions The flap pedicled with inferior cubital artery can be used for repairing soft-tissue defects around elbow joint.

关 键 词：肘下动脉 肘部 桡动脉 皮瓣 修复 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]