股前区皮下脂肪厚度的测量与皮肤穿支血管的临床应用解剖分析

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1、巫壁鱼丝一一一一一一一一一一二~.…_二扛摘要支血管数(l.9士0.8支)多于上份(l.4士0.5支)和中份(l.6士0.6支)。来源于降支的占763%，横支的占19.2%，升支的占1.4%，其它占3.1%，主要为肌皮穿支。3.股前内侧区的上中下区域均有皮穿支血管分布，位于上份的占17.1%，中份的占35.7%，下份的占463%。下份出现皮穿支血管的概率(95.5%)>中份(84.9%)>上份(51.5%)。皮穿支血管平均为3.3士1.1支，主要来源于股动脉及其分支，以肌皮穿支为主。57.6%的患者(38/66)股前内侧区的中、上份区

2、域存在来源于旋股外侧动脉降支的皮穿支血管。结论1.股前区上下区域皮下脂肪厚度差异明显，下份<中份<上份。2.股前区上、中、下区域均有穿支血管分布，可以根据临床需要制备不同厚度的皮瓣。3.旋股外侧动脉及其分支所发出的皮穿支血管分布于股前区多个区域，可以根据所需皮瓣的大小选择不同区域的皮瓣进行组合，制备一蒂多岛皮瓣。关键词穿支血管，皮瓣，脂肪厚度，股前区硕士学位论文英文摘要MeasurementoftheThicknesSofSubCutsneouSFatsndCliniealAPPliedAnatomyofCutaneousPerfor

3、atorsVesselsinAnteriorThighRegionABSTRACTobjectiveTomeasurethethie知essofsubeutaneousfatindiffereniParts+内In0aanteriorthighregionandexPlorethedistribution，number，tyPesdsourcesofeutaneousPerforatorsofanteriorthighregion.Provideeliniealguidaneeonmakingsingle一islandflapandm

4、uiti一islandsflaPinanteriorthighregion.MethodS66casesfromOctober2008toAPril2009intheseeondXiangyaHosPital，CentralSouthUniversitywereseleeted.TheyallhavesufferedthereseetionoforalandmaxillofaeialmalignantandinlPhasereeonstruetionwithfreeflapsofleftanteriorthighregion.Thea

5、nteriorthighregionwasdividedintoanterolateralthighregionandanteromedialthighregion，whlehwasfurtherdividedintouPPer，middleandlowerregions.1.MeasurethethieknessofsubeutaneousfatindifferentPartsofanteriorthighregion.2.withtheineisionofflaps，toexPlorethePerforator，5distribu

6、tion，number，tyPesandsoureesinleftanteriorthighregion.IntheexPloration，asfarasPossiblenotto硕士学位论文英文摘要increasethelocalinjury.Resultsnoof.Inanteriorthighregion，thethicknessofsubeutaneousfatthelowerPart

7、lehasthickersubcutaneousfatthanthemale.2.Allofthelower，middleanduPPerPartsofanterolateralthighregionhaveeutaneousPerforators，theuPPerhave25.4%，themiddleParthave34.7%，thelower35.2%.Theprobabilityofeutaneousperforatorsinlowerpart，anduPPerpart1589.4%，97%and83.3%，themiddleP

8、artpart>thellPPerPart.TheaverageeutaneousPerforatorsofanterolateralthighregion154.4士1.4，thelowerparthavemorecu