摘要
目的:了解三边孔的形态,为临床制作旋肩胛血管蒂肩胛骨骨皮瓣、肌瓣和肌皮瓣提供解剖学依据。方法:解剖观测32侧成尸肩胛区三边孔的形态及经过三边孔的旋肩胛动、静脉的外径及其位置毗邻关系。结果:三边孔外侧壁长(15.51±1.8)mm,上壁长(25.1±5.4)mm,,下壁长(25.7±4.5)mm。旋肩胛动脉宽径(2.6±0.7)mm;旋肩胛静脉上支宽径(2.6±0.7)mm,下支宽径(2.4±0.7)mm。肩胛下神经宽径(2.1±0.6)mm。旋肩胛动、静脉在入三边孔前与肩胛下神经伴行。结论:旋肩胛动脉在三边孔内的投影点,对手术寻找该血管具有指导作用。
<abstract>jective:To study the shape of the trilateral foramen in order to provide anatomical data for the creation of bony skin flap, muscle flap and muscle skin flap of scapula with circumflex scapular vessel pedicle for clinical use. Methods: The scapular region of 32 adult cadavers were dissected, and the shape of the trilateral foramen, the outer diameter of the subscapular nerve and the circumflex scapular vessle, and their relations in position were observed and measured. Results: The lateral wall length of the trilateral foramen was (15.5 ±1.8)mm,upper wall length was (25.1±5.4)mm,lower wall length was (25.7±4.5)mm.The transverse diameter of the upper branch of the circumflex scapular artery was (2.6±0.7) mm. The transverse diameter of the upper branch the circumflex scapular vein was (2.6±0.7) mm; The transverse diameter of the lower branch of the circumflex scapular vien was (2.4±0.7) mm. The transverse diameter of the subscapular nerve was (2.1±0.6) mm. The circumflex scapular artery and vein were complicated by the subscapular nerve at the front meatus of the trilateral foramen. Conclusion:The projection point of the circumflex scapular artery in the trilateral foramen can help to find the vessle in operation.
出处
《解剖与临床》
2004年第3期144-145,共2页
Anatomy and Clinics
关键词
肩胛
静脉
动脉
解剖学
神经
临床意义
肌瓣
肌皮瓣
骨皮瓣
临床制作
<keyword>ilateral foramen
Circumflex scapular artery and vein
Subscapular nerve
Bony skin flap of scapula
