摘要
目的：为临床行带血管蒂的肩胛骨移植提供解剖学基础。方法：在30具（60侧）成人尸体上观测了肩胛骨血供的相关参数。结果：肩胛冈、肩胛骨内侧缘和肩肿骨外侧缘区分别主要由肩胛上动脉、肩胛背动脉、旋肩胛动脉供血。肩胛上动脉起始处外径（2．20±0．54）mm，66．67％发自甲状颈干；肩胛背动脉起始处外径（2．26±0．48）mm，68．33％发自颈横动脉；旋肩肿起始处外径（3．18±0．58）mm，93．33％发自肩肝下动脉。结论：肩胛骨血供属弥散性血供，但各区域均有主干血管。肩胛骨较理想的供骨部位是外侧缘。
Objective: To provide anatomic basis for clinical transplantation of scapula with blood vessel stalk Methods: Some parameters aboUt scapular blood supply being observed on thirty abult cadavers. Results: Spine of scapula,medial border and lateral border of scapula are mainly supplied respectively by suprascapular artery, dorsal scapular artery and circumflexa scapular artery. 66. 67 % of suprascapular arteries arise from trancus. Thyreocervicalis, with its origin's external diameter of (2. 20±0. 54)mm: 68. 33% of dorsal scapular arteries arise from transversa colliartery, with its origin's external diameter of (2. 26±0.48)mm; 93. 33% of circumflexa scapular arteries arise fromsubscapular artery, with its origin's external diameter of (3. 18±0. 58)mm. Conclusion: Scapular blood vessels are rich anastocamosed, however, there is a chief blood vessel in each certain grea. To provide bones, lateral border of scapula is the ideal area.
