摘要
目的 探讨小腿皮神经伴行血管皮瓣的血供方式及应用的可靠性。方法 对 32侧婴儿和 2侧成人下肢新鲜标本灌注后解剖观察 ,并应用小腿皮神经伴行血管皮瓣修复 5例外伤后软组织缺损。结果 ① 4条主要的皮神经在穿出深筋膜时 ,均有皮动脉伴行 ,但伴行方式不尽相同。②在小腿中上段以轴型血管为主 ,中下段以“链条式”连接的伴行血管为主。③由此设计的皮瓣应各有差异 ,临床应用 5例全部成活。结论 ①沿皮神经走向设计的筋膜皮瓣血供可靠。②对“链条式”伴行血管为蒂的皮瓣 。
Objective\ To investigate the blood supply patterns and the clinical liability of a leg flap pedicle\|included with cutaneous nerve and its concomitant vessels.Methods\ Fresh cadaver legs with thirty\|two ininfants and two in adults were anatomically examined after the intravenous injection of the red Chlorinated Poly Vingl Choride (CPVC).Five patients with the soft tissue defects were selected for the treatment with the flap pedicle\|included with the cutaneous nerve and its concomitant vessels.Results\ Four main cutaneous nerves were found in the leg after they perforated the deep fascia out.They were companioned with their concomitant vessels with different blood\|supply pateeerns,which the upper part of the leg was in an axial pattern and the lower part was in a “chain\|type anastomosing” pattern.Following the above\|mentioned findings,five cases were successfully treated with this led flap.Conclusions\ The leg flap should be designed along the cutaneous nerve and its concomitant vessels.When the flap is applied in the area of blood supply with “chain\|type anastomosing” pattern,the deep fascia should also be included in the flap.\;
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2000年第3期151-153,共3页
Chinese Journal of Plastic Surgery
