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小腿前外侧群肌瓣的应用解剖

APPLIED ANATOMY OF LEG ANTEROLATERAL MUSCLE FLAPS

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【作者】 谷方; 葛兆茹; 赵振美; 王庆保; 唐勇;

【Author】 Gu Fang, Ge Zhaoru, Zhao Zhenmei, Wang Qingbao, Tang Yong (Department of Anatomy, Medical College of Qingdao University, Qingdao 266021)

【机构】 青岛大学医学院解剖教研室!青岛266021; 泰山医学院解剖教研室; 泰山医学院附属医院; 泰安市中心医院;

【摘要】 目的:为小腿下1/3的骨髓炎和其它创伤性修复提供满意的肌瓣。材料和方法:用30具成人的尸体,采用连续层次解剖法,调查了小腿前群和外侧群各肌,用游标卡尺测量了有关的数据。结果:转动胫骨前肌、拇长伸肌、处长伸肌、腓骨长肌、腓骨短肌和第 3腓骨肌瓣能覆盖腔骨前内侧下 1/3的面积分别是 8. 7 cm~2、12.4 cm~2、12. 7 cm~2、13. 6 cm~2、19. 0 cm~2、16. 7 cm~2。结论:除胫骨前肌和腓骨长肌因受功能的限制外,其它各肌均可移植。

【Abstract】 To provide satisfactory muscle flaps for the osteomyelitis and the other plastic and reconstructive surgery of the lower one-third of leg. Methods: The leg anterolateral group muscles on 30 adult cadavers by regional anatomy were studied and measured with vernier calipers. Results: When the muscle flap of the tibialis anterior was turned, it could cover 8. 7 cm~2 of the anterointernal wound area on the lower one-third of the leg, and the extensor hallucis longus could cover 12. 4 cm~2, the extensor digitorum longus 12. 7 cm~2, the peroneus longus 13. 6 cm~2, the peroneus brevis 19. 0 cm~2, and the third peroneus 16. 7 cm~2. Conclusion: The leg anterolateral every muscle can be grafted except the tibialis anterior and the peroneus longus which are limited by the function.

  • 【文献出处】 解剖学杂志 ,CHINESE JOURNAL OF ANATOMY , 编辑部邮箱 ,1999年06期
  • 【分类号】R322
  • 【被引频次】3
  • 【下载频次】73
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