结论:逆行腓动脉蒂比目鱼肌皮瓣转位是治疗小腿中下段创伤后复杂性软组织缺损、骨外露的一种合理,简便有效的方法。
Conclusions: Soleus musculocutaneous flap transposition pedicled with retrograde peroneal artery is an easy and effective method to treat complex soft tissues defect on middle inferior leg injury.
腓肠内侧皮动脉起始后,与腓肠内侧皮神经伴行,走行在腓肠肌内外侧头之间的肌间沟内下行。
With medial sural cutaneous nerve, medial sural cutaneous artery went down through the sulcus between medial and lateral heads of sural muscle.
在伸肌下支持带中点分杈处发出的皮支15%起源于跗外侧动脉。
Sometimes the cutaneous branch from the middle point of the crotch originated from lateral tarsal artery(15%).
分布于该皮瓣的皮动脉是起干股动脉的缝匠肌内缘上皮动脉。
This artery is main cutaneous artery to supply this flap and always comes from the femoral artery.
结果:足外侧肌皮瓣的血供可有腓动脉的穿支或跗外侧动脉保证。
Results: the blood supply of the lateral pedal region was ensured by the lateral tarsal artery and perforating branch of the peroneal artery.
解剖臀上动脉的肌皮穿支并测量其外径。
Dissection the superficial branch of superior gluteal artery and measurement its external diameter;
肌间隙皮血管型:隐动脉皮瓣4例,小腿内侧中下部皮瓣6例,声像图显示轴心动脉走行于回声不同的肌块间。
Septocutaneous perforator: in 4 saphena arteria flaps and 6 internal low leg flaps, the colour signals of the axial artery were founded through the intermuscular septum.
掌皮支营养动脉主要发自尺动脉(占52.5%)和桡动脉(占37.5%),以直式、伴入式和肌支式进入神经。
Palmar cutaneous branch mainly originated from ulnar artery (52.5%) and radial artery (37.5%), entered nerve directly.
缘动脉不受损是肌皮瓣成活的重要保证。
No damage of subcostal arteries can influence the survival of musculocutaneous flap.
缘动脉不受损是肌皮瓣成活的重要保证。
No damage of subcostal arteries can influence the survival of musculocutaneous flap.
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