以掌背动脉为蒂尺骨远段背侧骨瓣移位术的应用解剖  

THE APPLIED ANATOMY OF TRANSPOSITION OF THE DISTAL DORSAL ULNA BONE FLAP PEDICLED WITH DORSAL METACARPAL ARTERY

作　　者：刘慧松 陈振光[1] 余国荣[1] 王斌[1] 

机构地区：[1]湖北医科大学附属第二医院显微外科,武汉430071

出　　处：《中国修复重建外科杂志》2000年第5期295-297,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　为以掌背动脉为蒂的尺骨远段背侧骨瓣移位修复第 3、4、5掌骨头缺损提供解剖学依据。方法　在 30侧成人上肢标本上解剖 ,观察腕背动脉网的构成及分支。结果　腕背动脉网由桡动脉及尺动脉腕背支及与骨间后动脉终末支 ,骨间前动脉腕背支吻合形成 ,由该网发生第 2、3、4掌背支 ,第 2、3、4掌背动脉由掌背支与掌深弓所发深支吻合而成。结论　以第 3、4掌背动脉为蒂的尺骨远端背侧半片骨瓣 ,可修复第 3、4。Objective\ To investigate the anatomic basis for transposition of the distal dorsal ulna bone flap pedicled with dorsal metacarpal artery to repair the defect of the 3rd or 4th and 5th metacarpal bone head.Methods\ In 30 adult cadaveric upper limbs, the branches and constitutions of the dorsal carpal arterial networks were observed.Results\ The dorsal carpal arterial networks were consisted of the dorsal carpal branches of ulnar and radial arteries, the terminal branches of posterior interosseous artery and the dorsal carpal branch of anterior interosseous artery, and then the 2nd, 3rd, 4th dorsal metacarpal branches were originated from the networks. The dorsal metacarpal branches were anastomosed with the deep branches of deep palmar arch to constitute the dorsal metacarpal artery.Conclusion\ Transposition of the distal dorsal ulna bone flap pedicled with the 3rd, 4th dorsal metacarpal arteries can be used in repairing the defect of 3rd, 4th and 5th metacarpal bone head.

关 键 词：掌背动脉 尺骨 掌骨头缺损 骨瓣移位术 解剖学 

分 类 号：R322.12[医药卫生—人体解剖和组织胚胎学]