吻合血管大收肌腱复合组织瓣移植修复跟腱缺损的应用解剖  

Applied anatomy of Achilles tendon defect repair by great adductor muscle tendon combined tissue flaps with vascular anastomosis

作　　者：高建明[1] 徐达传 陈振光[3] 许本柯 钟世镇 

机构地区：[1]浙江省湖州市解放军第98医院南京军区手外科中心,313000 [2]广州市第一军医大学解剖学教研室,510515 [3]湖北医科大学附属第二医院显微骨科 [4]湖北省沙市卫生职工医学院解剖学教研室

出　　处：《中国临床解剖学杂志》2000年第2期102-104,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的 :为吻合血管的大收肌腱复合组织瓣移植修复跟腱缺损新术式提供解剖学依据。方法 :在 40侧经动脉灌注红色乳胶成人尸体下肢标本上 ,对膝降动脉的起始、走行、分支和分布 ,以及大收肌腱的形态、血供等解剖观察。结果 :膝降动脉 95 %起于股动脉 ,起始处距收肌结节 7.8± 0 .8cm ,膝降动脉90 %发出隐支、股内侧肌支和关节支 ,膝降动脉和关节支起始外径分别为 :1.9± 0 .4mm和 1.4± 0 .4mm ,关节支伴大收肌腱下行 ,分支供养大收肌腱及股骨内侧髁。结论 :以膝降血管为蒂可形成大收肌腱骨皮复合组织瓣 ,吻合血管移植可修复不同类型的跟腱缺损 ,术式简便易行 ,供区损伤小。Objective:To provide anatomic basis for Achilles tendon defect repair by great adductor muscle tendon combined tissue flaps.Methods:The origin,course,branches and distribution of the descending genicular artery and morphology and blood supply of great adductor muscle tendon were observed on 40 sides adult lower limbs perfused with red latax.Results:The descending genicular artery originated from the femoral artery in 95% of the specimens with a distance of 7.8±0.8 cm to tubercle of the adductor magnus.Ninety percent of the artery gave off saphenous branch,articular branch and medial femoral muscular branch.The external diameter of the artery and its articular branch that supplies the adductor magnus tendon and femoral internal condyle is 1.9±0.4 mm and 1.4±0.4 mm indivudually.Conclusions:The great adductor muscle tendon combined tissue flaps could repair different type of Achilles tendon defect.The operation is easy to finish and it has less injury to donated region.

关 键 词：跟腱缺损 复合组织瓣移植 大收肌腱 解剖 

分 类 号：R686.1[医药卫生—骨科学] R602[医药卫生—外科学]