摘要
目的：为喉部分切除术后采用肩胛舌骨肌上腹修复声带术式的可行性提供解剖学依据。方法：对２６ 具（５２ 侧）头颈部标本的肩胛舌骨肌上腹的形态学特征、血管神经支配进行观测。结果：该肌平均长度为７４．８ ｍ ｍ ，起始部宽８．４ ｍ ｍ ，中间部宽９．６ ｍ ｍ ，肌腱部宽４．４ ｍ ｍ ；供应动脉主要来自环甲肌支（５１．９％ ）和喉上动脉分支（２５．０％ ），起始部直径平均为０．７ ｍ ｍ ，血管干长９．６ ｍ ｍ ；末端静脉直径为１．１ ｍ ｍ ，干长１７．４ ｍ ｍ ；颈袢发出的亚支支配该肌，直径为０．６ ｍ ｍ ，神经干长１９．６ ｍ ｍ 。结论：根据肩胛舌骨肌上腹的形态学观测。
Objective:In order to provide anatomical basis for renovating vocal fold with muscle bone flap of hyoideum omohyoid.Method:It was measured that the anatomical structure correlative with superior belly of hyoideum omohyoid,artery,vein and nerve of the muscle and vocal fold morphosis by 26(52 sides) cephalocevical sample dissection.Result:It was observed that the muscle is 74.8 mm in length, 8.4 mm in width of starting part, 9.6 mm in width of middle part, 4.4 mm in width of tendon part. Its blood supply are mainly from cricothyriod artery ( 51.9 %) and superior laryngeal artery ( 25.0 %) with an arterial trunk of 9.8 mm in length and 0.7 mm in diameter. The venous trunk is 17.4 mm in length and 1.1 mm in diameter. The muscle is innervated by the sub broaches arising from hypoglossal nerve ansa, the trunk is 19.6 mm in length and 0.6 mm in diameter.Conclusion:It is possible that musclebone flap of hyoideumomohyoid to renovate vocal fold according to the study of the muscle morphology characteristic.
出处
《临床耳鼻咽喉科杂志》
CSCD
1999年第9期401-402,共2页
Journal of Clinical Otorhinolaryngology
关键词
肩胛舌骨肌上腹
肌骨瓣
声带
修复
Superior belly of hyoideum omohyoid Musclebone flap Renovate vocal fold
