腹横肌修复膈缺损的初步研究  

Applied anatomy of the pedicled transverses abdomen displacement for repairing the defect of diaphragm.

作　　者：薛延军[1] 刘海燕[2] 李祥鹏[1] 奚林[3] 韩晓红[3] 段大航[2] 

机构地区：[1]第四军医大学吉林军医学院解剖教研室,132013 [2]北华大学医学院 [3]吉林卫生学校

出　　处：《中国民政医学杂志》2001年第3期157-158,共2页Medical Journal of Chinese Civil Administration

摘　　要：目的 :为带蒂腹横肌瓣转位修复膈缺损提供解剖学基础。方法 :在 40侧新生儿尸体标本上 ,解剖观测腹横肌的形态、血供及神经支配。结果 :1)腹横肌肌性部厚度平均为 (0 98± 0 2 2 )mm ,与腱膜部移行处的长度平均为 (10 35± 1 78)cm ,平脐高度的宽度平均为 (4 88± 1 0 5 )cm ,腱膜部平均宽度 (2 6 2± 0 5 1)cm。 2 )腹横肌血供为多源性 ,由肋间后动脉、肋下动脉、腰动脉、旋髂深动脉升支供血 ,位置恒定。结论Objective:To provide anatomic basis for the pedicled transverses abdomen displacement for repairing the defect of diaphragm.Methods:The morphology,vessels of transverses,abdomen were observed and measured on 40 sides of infant cadavers.Results:The muscular part of transverses abdomen was (0.98±0.22) mm thickness,the length of muscular part to aponeurotic part was (10.35±1.78) cm,the width of umbilical level was (4.88±1.05) cm,the aponeurotic part,on average,was (2.62±0.51) cm wide;The vessels of transverses abdomen were various.Conclusions:It was feasible to displace the pedicled transverses abdomen for repairing the defect of diaphragm.

关 键 词：腹横肌瓣 膈 转位 新生儿 修复 

分 类 号：R726.2[医药卫生—儿科]