摘要
在３０侧新鲜成人上肢灌注标本上，解剖观察手背，示、中指背筋膜血管神经蒂“Ｙ”型皮瓣的血供来源、分布和吻合支。结果表明：该皮瓣为筋膜血管网，轴向血管的血供皮瓣。血供来源于示指枕侧背动脉、第一掌背动脉、第二掌背动脉、拇指背动脉、挠动脉的直接筋膜皮支和掌深弓的穿支等。皮瓣的切取不受第一掌背动脉、第二掌背动脉类型的影响，手术操作简单，经临床应用一期再造拇指证明安全可靠，值得推广应用。
he origin,distribution and anastonloses of the blood
vessels nourishinga“Y”shaped cuta-neous flap between the proximal
parts of index and midsle figer were dissected and observed in30
fresh adult human hand specimens. A multi-origin of vascular supply
to the flap,with axial typevessels was observed.They are from the
dorsal radial artery of the index,the first。dorsal metar-carpal
artery,the second dorsal matacarpal artery,the dorsal artery of the
thumb, the fascia-cuta-neous branch of radial artery and the
perforating branch of the deep palmar arch A“Y”type
is-land.cutaneous flap was designed for thumb reconstruetion. Five
case of successful clinic applica-tions fully approved the advantages
and safety of the flap.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1995年第4期249-251,共3页
Chinese Journal of Clinical Anatomy
关键词
示指
中指
筋膜皮瓣
掌背动脉
断指再植
thumb reconstruction
island
cutaneous flap
dorsal metacarpal artery
