摘要
目的为骨间前血管背侧支骨(膜)瓣转位治疗舟、月骨病变提供了解剖学依据。方法通过30侧红色乳胶灌注标本的上肢解剖观测,探讨骨间前血管背侧支骨(膜)瓣的血供走行,分布和吻合特点。结果骨间前动脉背侧支距桡骨茎突上6.6±1.4cm处穿骨间膜,在其近端分别向尺桡侧发出分支,其中桡骨有一骨膜支较为粗大恒定。背侧支在桡骨茎突上2.6±0.8cm分为内外终支分别与尺挠动脉腕背支吻合,以此为旋转轴点,可形成逆行的骨(膜)瓣,结论骨间前血管背侧支骨(膜)瓣可逆行转位治疗月骨、舟骨病变。
objective The investigation of vascularized periosteal flap with dorsal branch of anterior in-ferossea vessel was performed to provide anatomical basis in clinical for repairing the scaphoid or lunate bone diseases. Methods The courses, branches, distribution and anastomosis of the dorsal branch of anterior in-ferossea vessel were observed on 30 sides of adult cadavers'upper extremities. Results The dorsal branch penetrate out of interosseous membrane of forearm at 6.6 ± 1.4cm upper the styloid process of the radius. It also sent off ulnar and radial periosteal branches. One of the radial periosteal branches is large in diameter and steady in anatomy. The dorsal branch send off lateral and medial branch about 2.6 ± 0.8cm upper the styloid process of the radius from proximal part. The end of the branch anastomoses with dorsal carpal branch of the ulnar and radial vessel. Those anastomosis supplied blood reversely to osteoperiosteal flap. Conclusion The pedicled osteoperiosteal flap can be transferred reversely for repairing the disease of scaphiod and lunate bone
出处
《实用手外科杂志》
1999年第2期98-100,共3页
Journal of Practical Hand Surgery
