【摘要】： 本研究通過對(duì)20側(cè)灌注紅色乳膠的成人上肢標(biāo)本進(jìn)行分層次的顯微解剖,觀察橈側(cè)副動(dòng)脈背側(cè)支與橈側(cè)返動(dòng)脈的吻合情況,以明確二者的吻合情況是否具備軸型血管跨區(qū)反流供血的解剖基礎(chǔ),并在此基礎(chǔ)上分別設(shè)計(jì)了以橈側(cè)副動(dòng)脈為血管蒂經(jīng)橈側(cè)副動(dòng)脈和橈側(cè)返動(dòng)脈的吻合支跨區(qū)域供血逆行皮瓣修復(fù)臂外側(cè)軟組織缺損,以橈側(cè)返動(dòng)脈為血管蒂經(jīng)橈側(cè)副動(dòng)脈和橈側(cè)返動(dòng)脈的吻合支跨區(qū)域供血逆行皮瓣修復(fù)前臂外側(cè)的軟組織缺損的反流軸型皮瓣。解剖學(xué)研究表明:在肱骨外上髁橈側(cè)副動(dòng)脈背側(cè)支與橈側(cè)返動(dòng)脈形成廣泛而豐富而且比較恒定的吻合,屬于跨區(qū)供血反流吻合形式的Ⅱ型吻合。因此,具備跨區(qū)供血反流軸型皮瓣的解剖學(xué)基礎(chǔ),可以將臂外側(cè)皮瓣向前臂擴(kuò)大形成臂外側(cè)-前臂近段皮瓣。值得臨床上推廣應(yīng)用。
[Abstract]:In this study, 20 adult upper limb specimens infused with red latex were dissected to observe the anastomosis between the dorsal branch of the radial collateral artery and the recurrent radial artery. In order to determine whether the anastomosis of the two has the anatomical basis of cross-region reflux of axial blood vessels, On the basis of this, a trans-region reverse flap pedicled with radial collateral artery and recurrent radial artery was designed to repair the soft tissue defect of the lateral arm, and the radial collateral artery was used as the pedicle to repair the soft tissue defect of the lateral arm. The radial recurrent artery was used as the vascular pedicle to repair the soft tissue defect of the lateral forearm with the reverse flow axial flap through the anastomotic branch of the radial collateral artery and the radial recurrent artery. Anatomical studies showed that the dorsal branch of the lateral epicondylar radial collateral artery of the humerus and the radial recurrent artery had extensive and constant anastomosis, which belonged to the type 鈪，

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