足内缘动脉弓为蒂的足内侧岛状皮瓣应用解剖  

Applied anatomy of medial plantar island flap pedicled with the medial foot arch artery

作　　者：王守道[1,2] 史增元[1] 尹维刚[2] 林荣[2] 毛海蛟[1] 

机构地区：[1]宁波大学医学院附属医院骨科,浙江宁波315020 [2]宁波大学,浙江宁波315211

出　　处：《中国临床解剖学杂志》2014年第4期381-383,共3页Chinese Journal of Clinical Anatomy

基　　金：宁波市社会发展科研项目(2011C50007);宁波市医学科技计划项目(2010A08)

摘　　要：目的为足内侧岛状皮瓣修复足底外侧皮肤缺损提供解剖学依据。方法 35侧成年尸体足标本,经动脉灌注红色乳胶,在手术显微镜下(×10)解剖观测?母展肌上缘动脉弓与足底内侧动脉深支内侧支吻合的位置、外径及长度。结果 ?母展肌上缘动脉弓与足底内侧动脉深支内侧支在内侧楔骨内侧有一较恒定的吻合,并把这一吻合支暂命名为足内缘动脉弓。形成足内缘动脉弓占82.8%(29侧),吻合处外径为(0.65±0.21)mm,长度为(2.63±0.71)mm;未发现吻合动脉弓占17.2%(6侧)。结论以足内缘动脉弓为蒂的足内侧岛状皮瓣可以修复足底外侧皮肤缺损。Objective To provide anatomical basis for repairing the skin defect about lateral plantar area. Methods The anatomic study was carried out on 35 sides of adult cadaveric foot which were perfused with red latex. With the help of surgical microscope （×10） , we observed the vessel which is the anastomosis of arterial arch at the superior border of hallucal abductor and the medial branch of deep branch of medial plantar artery, and then measured its location, diameter, length. Results The anastomosis of arterial arch at the superior border of hallucal abductor and deep branch of medial plantar artery at the medial border of the medial cuneiform bone, which we named the medial foot arcuate artery. The frequency of the medial foot arch artery was 82.8% （29 sides）.The external diameter was （0.65±0.21） mm. The length was （2.63±0.71）cm. The medial foot arcuacte artery was absent in six cases. The frequency was 17.2%（6 sides）. Conclusion The medial plantar island flap pedicled with the medial foot arch artery can be used to repair the skin defect on the lateral plantar area.

关 键 词：岛状皮瓣 跗内侧动脉 内踝前动脉 足底内侧动脉深支 

分 类 号：R616.2[医药卫生—外科学] R323.72[医药卫生—临床医学]