胸肩峰动脉肩胛冈骨瓣移位术的应用解剖  

Applied anatomy of the transposition of spine of scapular flap pedicled with thoracoacromial artery

作　　者：陈振光[1] 郑和平 张发惠 谭金海[1] 

机构地区：[1]武汉大学中南医院显微骨科,武汉市430071 [2]南京军区临床解剖学研究中心

出　　处：《中华显微外科杂志》2002年第1期47-48,共2页Chinese Journal of Microsurgery

摘　　要：目的　为以胸肩峰动脉为蒂肩胛冈骨瓣移位术提供解剖学依据。　方法　在 40侧成人尸体标本上 ,观察了胸肩峰动脉走行、分支及分布。　结果　胸肩峰动脉主要分支中的肩峰支长度( 5 1± 0 1)cm、外径 ( 1 2± 0 2 )mm ,其三角肌支沿三角肌胸大肌间沟走行 ,除分支到三角肌和胸大肌外 ,与旋肱前动脉有恒定吻合 ,其外径 ( 1 9± 0 2 )mm ,发出点至三角肌、胸大肌入肌点长分别为 ( 4 8±0 5 )cm和 ( 3 2± 0 4)cm。　结论　可设计以胸肩峰动脉肩峰支为蒂 ,或在胸肩峰动脉肩峰支和三角肌支分支前结扎动脉干 ,以三角肌支 肩峰支为蒂的肩胛冈外侧段骨瓣移位以修复肱骨近端。Objective To provide the anetomic base for the transposition of spine of scapular flap pedicled with thoracoacromial artery Methods The course, branches and distribution of thoracoacromial artery were observed on 40 adult cadaver specimens Results The main branch of thoracoacromial artery was the acromial branch Its length was (5 1±0 1) cm, the originated diameter was (1 2±0 2) mm The deltoid muscular branch went outward intermuscular ditch between deltoid muscle anspectoralis major muscle, and anastomosed with anterior humeral circumflex artery constantly besides distributing to deltoid muscle and pectoralis major muscle, its diameter was (1 9±0 2) mm, the length form the originated dot to the entrancing muscular dot of deltoid muscle or pectoralis major muscle was (4 8±0 5) cm or (3,2±0 4) cm respectively Conclusion The transposition of lateral segment spine of scapular flap pedicled with the acromial branch of thoracoacromial artery or deltoid muscular branch acromial branch may be designed for repairing proximal humerus

关 键 词：胸肩峰动脉 肩胛冈 骨瓣 移位术 解剖学依据 

分 类 号：R687.3[医药卫生—骨科学]