带血供股骨干前外侧面骨膜瓣移位术的临床应用  

Clinical application for transposition of the pedicled anterolateral femoral periosteal flap

作　　者：陈振光[1] 余国荣[1] 郑和平[2] 谭金海[1] 喻爱喜[1] 

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

出　　处：《中华显微外科杂志》2004年第1期21-23,共3页Chinese Journal of Microsurgery

摘　　要：目的　探讨带血供股骨干前外侧面骨膜瓣移位术的临床应用价值。　方法　解剖观测3 8侧经红色乳胶灌注的成人下肢标本 ,明确股骨干前外侧面骨膜的血供来源、分布和吻合。在此研究基础上 ,设计带血供股骨干前外侧面骨膜瓣移位术 ,修复 2 2例股骨干骨不连和骨缺损。　结果　临床应用 2 2例 ,获 1～ 5年随访 ,均取得良好效果。骨膜瓣面积为 8cm× 4cm至 10cm× 5cm。　结论　该骨膜瓣具有手术操作简便、安全和易于推广等优点 ,并在同一手术入路完成病损区处理和骨膜瓣切取 ,具有很强的临床实用价值。Objective To discuss the clinical value of transposition of the pedicled anterolateral femoral periosteal flap. Methods The blood supply of anterolateral femoral periosteum were dissected on 38 adult cadaveric lower limber specimens injected with red dye. The origins, distributions and anastomosis of periosteal breanches were observed and measured. Based on these anatomic investigations, the transposition of pedicled anterolateral femoral periosteal flap was designed to repair the bone nonunion and lesion of femur. Results Twenty-two cases were treated in the satisfactory results, and followed-up from 1 to 5 years. The size of the periosteal flap ranged from 8cm×4cm to 10cm×5cm. Conclusions The periosteal flap could be operated so conveniently and safely as to be spread easily, treatment of lesion and incision of periosteal flap can be finished in the same operative approach. The periosteal flap have been proved to be powerfully clinical value.

关 键 词：股骨干 骨膜瓣 移位术 解剖结构 手术入路 显微外科 

分 类 号：R687[医药卫生—骨科学]