尺侧返血管背侧支尺骨上段骨膜瓣移位术的应用解剖  

Applied anatomy for the transposition of the proximal ulna periosteal flap pedicled with dorsal branch of ulnar recurrent vessels

作　　者：陈振光[1] 张发惠[2] 谭金海[1] 郑和平[2] 陶圣祥[1] 邓凯[1] 

机构地区：[1]武汉大学中南医院显微骨科,湖北武汉430071 [2]南京军区福州总医院军区临床解剖学研究中心,福建福州350003

出　　处：《中国临床解剖学杂志》2002年第5期343-344,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的 :为治疗肱骨干骨不连提供一种新的骨膜瓣供区。方法 :在 3 0侧成人上肢标本上解剖观察了尺侧返血管的起始、走行、分支、分布及其与尺侧下副动脉的吻合关系。结果 :尺侧返动脉始于尺动脉上段 ,距肱骨内上髁 (5 .3± 1.0 )cm ,外径 (1.9± 0 .3 )mm ,分出掌侧支和背侧支。背侧支位于尺神经深面 ,沿尺神经沟上行 ,沿途分出 4～ 8支外径在 0 .3～ 1.0mm的骨膜支 ,分布尺骨上段内侧骨面。结论 :以尺侧返血管背侧支为蒂的骨膜瓣逆行移位可修复肱骨中、下段骨不连。Objective: To provide a new kind of donor of periosteal flap for repairing the humerus nonunion.Methods:The origins, courses, branches, distributions and anastomosis of ulnar recurrent artery and inferior ulnar collateral artery were observed on 30 adult cadaveric upper limb specimens.Results: The ulnar recurrent artery originated from the proximal ulnar artery 5.3±1.0 cm beneath the medial epicondyle of humerus, with a diameter of 1.9±0.3 mm. It divided into a palmar branch and a dorsal branch.The dorsal branch situated at the deep of ulnar nerve and ascending along the ulnar groove, and divided into 4～8 periosteal braches to the medial upper part of ulna with a diameter of 0.3～1.0 mm.Conclusions: The reversed transposition of periosteal flap pedicled with dorsal branch of ulnar recurrent vessels could be designed for repairing nonunion of the middle distal humerus.etranspos

关 键 词：尺侧返动脉 背侧支 骨膜瓣 移位 解剖学 

分 类 号：R323.71[医药卫生—人体解剖和组织胚胎学] R658.2[医药卫生—基础医学]