摘要
目的从临床角度认识高位皮动脉与旋股外侧动脉降支的关系及股前外侧皮瓣的血供。方法回顾性分析2003年11月至2016年12月152例股前外侧穿支（肌）皮瓣，其中切取降支皮瓣99例，切取外侧支皮瓣43例，切取旋股外侧动脉降支与外侧支联合分叶（肌）皮瓣8例，切取高位直接皮支皮瓣2例，用于修复肢体创面。结果皮瓣全部成活147例，坏死3例，部分坏死2例。外侧支出现率为33.5%。降支和外侧支均为血管神经束支配股外侧肌，或单独或同时发出穿支支配股前外侧皮肤。结论旋股外侧动脉降支包含外侧支，均为血管神经束，靶向支配股外侧肌，再发出穿支支配股前外侧皮肤，构成完整的＂解剖功能单位＂ ，高位皮动脉只是其众多穿支之一，起点位置较高，多发自外侧支。
ObjectiveTo recognize the relationship between high cutantous artery branches and descending branch of lateral femoral circumflex artery artery, and to investigate the blood supply of anterolateral thigh flap in clinical.MethodsRetrospective analysis 152 cases of anterolateral thigh flap from November, 2003 to December, 2016. It contains cutting with descending branchs in 99 cases, cutting with lateral branchs in 43 cases, the union of them in 8 cases and high cutantous artery branches in 2 cases.ResultsThe flaps survival in 147 cases, cutting necrosis in 3 cases and partly necrosis in 2 cases. Descending and lateral branchs were both dominance neurovascular bundle of vastus lateralis muscle, independently or commonly dominate the skin of anterolateral thigh, occurrence rate was 33.5%.ConclusionThe descending branch of lateral femoral circumflex artery include lateral branch, all of which are the neurovascular bundles, supply the anterolateral thigh muscle, and divid into some perforator branches crossing the musle to the anterolateral thigh skin subsequently, which constitute ＂the anatomical functional unit＂. High cutantous artery branche is the one of all of the branches, its origin lies hight and arise from lateral branch.
出处
《中华显微外科杂志》
CSCD
北大核心
2017年第5期456-459,共4页
Chinese Journal of Microsurgery
基金
河北省医学适用技术追踪项目（G2015079）
关键词
股前外侧皮瓣
旋股外侧动脉
降支
高位皮动脉
穿支
Anterolateral thigh flap
Lateral femoral circumflex artery, descending branch
High cutantous artery branches
Perforators
