摘要
在手术显微镜下解剖30侧成年尸体。发现侧胸区有稳定的轴型皮血管源。在其前部的胸前外侧区,有较恒定的副胸外测血管;在其后部的背阔——胸大肌区有胸外侧动脉和肩胛下—胸背动脉的皮动脉,以及腋动脉的直接皮动脉,它们在该区的分布,可一支为主、另一支为辅,或仅由一支分布。无论哪一种类型都有可供显微外科吻合用的血管蒂。测量了血管管径和可供游离皮瓣作为血管蒂的血管长度。对侧胸区皮血管的分布提出了整体概念,可作游离皮瓣设计的参考。
Ten percent ethyl acetate oil red dye was injected into the axillary artery of 30adult cadavers.After careful dissection under surgical microscope,the cutaneousarteries in the lateral thoracic region were demonstrated.The skin and subcutaneoustissue in this region is nourished mainly by four axial arteries.In the anterior part,the anterolateral area,accessory lateral thoracic artery is almost always present.It isa direct cutaneous branch of axillary or brachial artery.In the posterior part,thepectoral latissimus dorsi area,direct cutaneous branches,arise from the lateral thoracicartery,subscapulo-dorsal thoracic artery and axillary artery.The distribution of thecutaneous arteries may be monopolized by either one,or one to be the main theother accessory.The diameters of the arteries and accompanying veins,can satisfythe requirment of a cutaneous flap in microvascular surgery.These arteries all possessrich anastomosis between each other and with neighboring arteries.The architactureof the destribution of blood vessels of lateral thoracic region,possibly set up amorphological basis,which may be helpful in cutaneous flap designation.
作者
陆英
何光篪(指导)
Lu Ying(Department of Anatomy,Third Army Medical College)
出处
《解剖学报》
CAS
1983年第1期23-31,共9页
Acta Anatomica Sinica
