腓肠神经移植的应用解剖  

Applied anatomy of sural nerve graft

作　　者：瞿佐发[1] 汤桂成[1] 徐锐[1] 李兴富[1] 李红军[1] 丁志兵[1] 吴先国[1] 

机构地区：[1]三峡大学医学院,湖北宜昌443003

出　　处：《华北煤炭医学院学报》2001年第4期395-396,共2页Journal of North China Coal Medical College

基　　金：湖北省教育厅资助课题 (2 0 0 0 B14 0 2 0 )

摘　　要：1目的　为自体腓肠神经移植提供解剖学基础。 2方法　 15具成人尸体 ,其中男性 12具、女性 3具共 3 0例下肢 ,经股动脉灌注氨水稀释的红色乳胶后进行大体解剖和观测。 3结果　腓肠神经主干起点横径 (3 .3 2± 0 .97) mm、长度 (13 8.5 5± 40 .72 ) mm,腓肠交通神经起点横径 (2 .2 2± 0 .44) mm,长度 (2 5 8.85± 40 .17) mm,腓肠内侧神经起点横径 (1.5 9± 0 .43 ) m m,长度 (2 40 .85± 3 1.82 )m m,腓肠外侧神起起点横径 (2 .5 7± 0 .73 ) mm,可游离长度 (193 .45± 3 6.86) mm ,小动脉分布密度 ,腓肠神经主干 >腓肠外侧神经 >腓肠交通支神经 >腓肠内侧神经。小静脉分布大致同动脉。4结论　可根据移植需要选择合适长度和横径的腓肠神经 ,有 10 %～ 15Objective To provide anatomic basis for autologous sural nerve graft. Methods 15 adult cadavers (12male and 3 female) were injected with red latex diluted by ammonia through femoral artery,and their 30 lower extremities were observed and measured.Results The diameter of the main trunk of sural nerve,sural communicating branch,medial suraf nerve and Lateral sural nerve is (3.32±0.97)mm,(2.22±0.44)mm,(1.59±0.43)mm and (2.57±0.73)mm,respecfively.The length of above is (138.55±40.72)mm,(258.85±40.17)mm,(240.85±31.82)mm,(193.45±36.86) respectively.Density of small arteries:sural nerve main trunk>lateral sural nerve>sural communicating branch>medial sural nerve.The density of small vein is the same as that of small arteries.Conclusions According to the need of nerve graft ,from the most reliable place we can harvest sural nerve graft whose lengths and diameters are suitable.10%~15% small arteries are fit for microvascular anastomosis nerve graft. [

关 键 词：腓肠神经 神经移植 神经桥 应用解剖 

分 类 号：R322.85[医药卫生—人体解剖和组织胚胎学] R651.3[医药卫生—基础医学]