足背并联皮瓣血供的应用解剖  

Applied anatomy of blood supply in dorsalis pedis parallel flap

作　　者：谢广中[1] 苗存良[1] 陈文雄[1] 梅林军[1] 丁白海[2] 郭垂淙 刘治军[1] 袁凯平[1] 王湘伟 陈绵[1] 

机构地区：[1]广东医学院附属厚街医院骨二科,广东省东莞市523945 [2]南方医科大学解剖研究所 [3]广东医学院研究生学院

出　　处：《中华显微外科杂志》2014年第3期263-265,共3页Chinese Journal of Microsurgery

基　　金：广东省东莞市科技局2011年重点科研项目（20111051-5000368）

摘　　要：目的为足背并联皮瓣移植提供解剖及临床应用依据。方法2011年10月至2013年12月，对足背动、静脉系统进行解剖学研究，红色乳胶灌注新鲜成年足标本20侧，解剖观测足内侧区、第1跖背区、足外侧区的血供动脉来源、分支、分布、外径、吻合支及其伴行静脉。结果足背并联皮瓣足内侧区皮瓣的轴心血管是内踝前动脉及跗内侧动脉，起始处外径分别为（1．4±0．3）mm和（1．1±0．4）mm；足背并联皮瓣的第1跖背区皮瓣的轴心血管是第1跖背动脉，起始处外径（1．5±0．9）mm；足背并联皮瓣的足外侧区的皮瓣的轴心血管是外踝前动脉、跗外侧动脉，起始处外径分别为（1．4±0．3）mm和（1．7±0．3）mm。结论足背并联皮瓣足内侧区、第1跖背区、足外侧区皮瓣各轴心血管走行及皮支恒定，口径大小适宜行足背并联皮瓣修复多指皮肤缺损。Objective To provide the anatomy and foundations of clinical applications for dorsalis pedis parallel flap transplantation. Methods Between October 2011 and December 2013, the anatomy of the dorsalis pedis artery and vein system had studied. The origin, branchs, distribution, external diameter, ramus anastomoticus and accompanying vein of the arteries supplying blood in the area of medial pedal, the first metatarsal dorsal and lateral dorsum of foot were observed in 20 fresh adult cadaverie lower extremities perfused red latex. Results Medial anterior malleolar artery and medial tarsal artery were axis vessels of dorsalis pedis parallel flap in the medial pedal, the external diameters at the initial site were （ 1.4 ± 0. 3 ）mm and （ 1.1 ± 0.4 ） mm, respectively. The first dorsal metatarsal artery in the first metatarsal dorsal, was （ 1.5 ± 0. 9） mm, lateral anterior malleolar artery and lateral tarsal artery in the lateral dorsum of foot, （ 1.4 ± 0. 3 ）mm and （ 1.7 ± 0. 3 ） mm, respectively. Conclusion The course and branch of the axis vessels of dorsalis pedis parallel flap in medial pedal, the first metatarsal dorsal and lateral dorsum of foot are constant. The diameter size is suitable for the repair of Multi-fingered skin defect using dorsalis pedis parallel flap.

关 键 词：足背动脉 跗内侧动脉 跗外侧动脉 游离皮瓣 显微解剖 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]