中国组织工程研究与临床康复第12卷第53期2008–12–30出版
Journal ofCl ini cal R ehabilitative T issue Engineering Rearch December 30,2008V ol.12,No.53
O B x ,S y z f
31Department of
Ortho pedic Surgery,
乒乓球女运动员
Second Af fil iated
Hospital of Dal ian
Medical Universit y,
Dalia n 116027,
Liaon i n g Prov i n ce ,
China;2Department
o f Ortho pedic Sur-
g e r y ,Second Peo-
p l e ’s Hospita l of
Lianyu ngang,
Lianyu ngang
222023,Ji ang su
Prov i n ce ,China
Li Peng ★,Mast er,
Associate pr ofessor,
电饭煲鸡翅Department of
Ortho pedic Surgery,
Second Af fil iated
Hospital of Dal ian
Medical Universit y,
Dalia n 116027,
Liaon i n g Prov i n ce ,
China
lp_david_1@y a h oo.
co m
Rec eived:2008-06-24
Accepted:2008-09-27名人故事大全
1大连医科大学附
属二院骨外科，辽
宁省大
连市116027；2连云港
市第二人民医院
骨外科，江苏省连
云港市
沙鱼涌海滩
222023
李澎★，男，
1969年生，辽宁
省大连市人，汉
修辞手法大全
族，2002年大连
医科大学毕业，硕
士，副主任医师，
主要从事骨科相
关研究。
胡歌资料
lp_david_1@y a h oo.
co m
中图分类号:R622+.1
文献标识码:A
文章编号:1673-8225
电脑原始桌面壁纸(2008)53-10432-05
收稿日期：2008-06-24
修回日期：2008-09-27
(54200806230004/
G MM)
臀上皮神经营养血管筋膜皮瓣移植的应用解剖特点
★
尼泊尔公主李澎1，李诚2，李靖年1，吕萍1Applied anatom ical char acter istics of super ior clunial fascio-cutaneous flap pedicled with cutaneous ner ve and nutrient vesl
Li P e ng 1,Li Cheng 2,L i Jing-nia n 1,L üP ing 1
Abstract BACK GROUND:Superior cluneal fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vesl is a kind of new flap which survives depending on the blood vesls clo to the cutaneous nerve.Thes e blood vesls supply not only the nerves but als o the fiscia and skin aroun
d them.T he flap with nsation can be ud to treat decubitus ulcers in sacrum region with minimum additional damage.OBJ E CT IVE :To study the anatomical bas is for transplantation of s uperior clunial fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vess el and its accurate design of rotating point by applied anatomical analysis.DE SIGN,TI ME AND SETT ING:An applied anatomical experiment was performed at Department of Anatomy in Dalian Medical University and Department of An atomy in Medical College of Dalian University from March to May 2006.MAT ERIALS:Thirty-one sides of Chine adult buttock specimens,perfud with red latex and fixed by formaldehyde,were lected in this experiment.ME THODS:The s uperficial branches of the superior gluteal arteries were dissociated and their external diameters were measured.The superior cluneal nerves and the posterior branches of the fourth lumbar artery were discted and the locations where they drilled through the deep fascia were recorded.The len gth of the intermediate branches of superior cluneal nerves and the external diameter of the pos terior branches of the fourth lumbar arteries were measured.MAIN OUTCOM E ME ASURE :The anatomical data of superior cluneal fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vesl were obrved.RE SULTS:The length of the intermediate branches of superior cluneal nerves (n=31)was (15.1±1.4)cm.The effective length of the area dominated by the intermediate branches of superior cluneal nerves (n=31)was (13.3±1.5)cm.Distance from the point where the superior clunial nerves an
d the posterior branch of the fourth lumbar artery drilled through the deep fascia to the upper margin of the iliac crest was (8.5±1.1)mm.Distan ce from the points (n=31)where the sup erior clunial nerves and the posterior branch of the fourth lumbar arteries drilled through the deep fas cia to posterior median line was (7.1±1.6)cm.The external diameter of the posterio r branches of the fourth lumbar arteries (n=31)was (1.0±0.3)mm.The external diameter of the first superficial branches of superior gluteal arteries (n =15)was (0.52±0.22)mm and that of the cond (n=10)was (0.42±0.18)mm.CO NCLUSION:The designed rotation point of superior cluneal fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vesl was located at the point of (7.1±1.6)cm from posterior median line and (8.5±1.1)mm from the upper margin of the iliac crest.The length of the flap was (13.3±1.5)cm,and the width of the flap pedicel was 3.5cm.Li P,Li C,Li J N,L üP.Applied anatomical characteris tics of s uperior clunial fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vesl.Z honggu o Zuzhi Gongcheng Yanjiu yu Linchuang Kang fu 2008;12(53):10432-10436(China)[ ]摘要背景：臀上皮神经营养血管筋膜皮瓣是一类以皮神经血供为其成活基础的新型皮瓣，皮神经周围的营养血管在营养神经的同时发支营养其周围的筋膜皮肤。此皮瓣可以用最小的副损伤修复骶部压疮，并且皮瓣有感觉。目的：拟通过对臀上皮神经筋膜皮瓣进行应用解剖学分析，为臀上皮神经筋膜移植皮瓣及其旋转点的精确设计提供解剖学依据。设计、时间及地点：应用解剖学实验，于2006-03/05在大连医科大学解剖教研室及大连大学医学院解剖教研室完
成。对象：选取31侧用红色乳胶灌注、经甲醛固定的中国成人人体臀部标本。方法：解剖成人人体臀部标本臀上动脉的肌皮穿支并测量其外径，解剖臀上皮神经和第4腰动脉后支观察其在深筋膜穿出点的位置，测量臀上皮神经中支的长度及第4腰动脉后支的外径。主要观察指标：臀上皮神经筋膜移植皮瓣的解剖学数据。结果：臀上皮神经中支长度（15.1±1.4）cm （n=31）。臀上皮神经中支支配区有效长度（13.3±1.5）cm （n=31）。臀上皮神经、第4腰动脉后支出肌点距髂嵴上缘距离（8.5±1.1）mm （n=31）。臀上皮神经、第4腰动脉后支出肌点距后正中线距离（7.1±1.6）cm （n=31）。第4腰动脉后支外径（1.0±0.3）mm （n=31）。臀上动脉上支的肌皮穿支外径：第1支（0.52±0.22）mm （n=15），第2支（0.42±0.18）mm （n=10）。结论：臀上皮神经筋膜皮瓣的旋转点设计应距后正中线(7.1±1.6)cm ，距髂嵴上缘(8.5±1.1)mm 。臀上皮神经筋膜皮瓣宜以长度(13.3±1.5)cm ，蒂部宽度3.5cm 为宜。关键词：皮肤移植；臀上皮神经；外科皮瓣；应用解剖学；组织移植李澎，李诚，李靖年，吕萍.臀上皮神经营养血管筋膜皮瓣移植的应用解剖特点[J].中国组织工程研究与临床康复，2008，12(53): ]基础医学P..o 1200hen a ng 110004cn.glck .c om 1042
