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1、·326·ChineseJournalofReparativeandReconstructiveSurgery,April2007,Vol.21,No.4·皮瓣与创伤修复·阴股沟皮瓣的显微解剖研究白晋宋建星杨超乌兰哈斯刘冰楼晓丽【摘要】目的明确阴股沟皮瓣的解剖基础,为临床设计和应用提供解剖依据。方法对成年尸体11具(22侧)阴股沟区进行显微解剖研究。在尸体标本上,模拟临床皮瓣切取方式,对皮瓣内包含的血管、神经进行观测;然后进行深部组织解剖,追溯血管、神经来源,并做记录。结果阴股沟区动脉血液供应充足,静脉回流丰富,神经支配可靠。阴部外浅动脉起始点主干直
2、径为2114±0123mm,又分为升支(阴部外浅动脉腹股沟支,血管直径为1138±0134mm)、降支(阴部外浅动脉会阴支,血管直径为1121±0124mm)。阴囊(唇)后动脉主干(血管外径为1113±0124mm)和外侧支(血管直径为0167±0133mm)。闭孔动脉前皮支(血管外径1168±0111mm)。并且位置比较恒定,其中以阴部外浅动脉和阴囊(唇)后动脉最为恒定;三组血管网贯穿了皮瓣的上、中、下部。神经支配主要有生殖股神经股支,髂腹股沟神经皮支,阴囊(唇)后神经三组。结论阴股沟皮瓣血运丰富,解剖简便易行,切取方便,供区隐蔽,再造性器官外形及
3、神经感觉均较理想。【关键词】阴股沟皮瓣显微解剖性器官再造中图分类号:R32316R322文献标识码:AAPPLIEDMICROANATOMICSTUDYOFPUDENDAL-THIGHSKINFLAPöBAIJin,SONGJianxing,YANGCha2o,etal.DepartmentofCosmeticSurgery,AffiliatedHospitalofChanghai,SecondMilitaryMedicalUniversity,Sh2anghai,200433,P.R.China.E-mail:jinxiaqd@hotmail.co
4、mCorrespondingauthor:SONGJianxing,E2mail:drsong@163.com【Abstract】ObjectiveToinvestigatethemicroanatomicbasisofthepudendal2thighflapandprovidetheanatomicbasisforclinicalapplication.MethodsSkinmicrodissectionofthepudendalregionswasperformedon11adultcadavers(22sides).Then,theclini
5、calwaywassimulatedtoobtaintheflaps,andthevesselsandnervescontainedinthemweresurveyed.Afterthat,thetissuesinthedeeppartweredissected,andthevesselsandnervesweretracedbacktotheirorigins.Thenotesweretaken.ResultsThebloodsupplytothepudenalregionswasplentifulandconstant.Theinitiation
6、pointofthesuperficialexternalpudendalarterywas2.14+0.23mmindiameter;onebranchofitwastheinguinalbranchandtheotherbranchwastheperinealbranch.Theirdiameterswere1.38+0.34mmand1.21+0.24mm.Theinitiationpointoftheposteriorlabialorscrotumarterieswas1.13+0.24mmindiameter,andthelateralbr
7、anchwas0.67+0.33mmindiameter.Theanteriorcutaneousbranchoftheobturatorarterywas1.68+0.11mmindiameter.Thepositionofallthebloodvesselswasrelativelyconstant,especiallytheexternalpudendalarteryandthelateralbranchoftheposteriorscrotalartery.Manyofthebloodvesselspassedthroughtheareaso
8、fthepudendumandthethigh,anastomosedwitheachother.Three
