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腓肠肌瓣逆行移位的应用解剖学 被引量:1

APPLIED ANATOMY OF THE RETROGRADE TRANSPLANTATION OF THE GASTROCNEMIUS MUSCLE FLAP
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摘要 在30侧成人下肢标本上,观察了腓肠肌的血供。肌的血供主要来自腓肠动脉。该动脉入肌后沿肌纤维长轴下行呈单干型、双干型和三干型分布。肌的下2/3有较恒定的肌皮动脉以及来自比目鱼肌等处的血管交通支。本文讨论了腓肠肌逆行移位的应用解剖学要点。 30 adult lower limbs were dissected to study the blood supply of the gastroenemius muscle.The blood supply to the muscle is derived from the sural artery.The blood for the skin covering the lower two third of the muscle is consistently supplied by the myocutaneous artery.The blood supply to the lower two third of the muscle is derived from the communicative branch with the soleus muscle.The Key points of retrograde gastrocnemius muscle flap were discussed.
作者 陆春才 戴松茂 陈雨田 Lu Chuncai(Department of Anatomy,Yangzhou Medical college,Yangzhou)
出处 《解剖学杂志》 CAS 1988年第1期10-12,共3页 Chinese Journal of Anatomy
关键词 腓肠肌 肌瓣 gastrocnemius muscle flap
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  • 1Varey AH, Khan U. Soft-tissue reconstruction of open fractures of the lower limb: muscle versus fasciocutaneaus flaps [ J ]. Plast Reconstr Surg, 2013, 131 (13) : 448e.
  • 2Katsumura T, Hirase Y, Fukunaoto K, et al. Use of free ipsilateral gastrocnemius flap for coverage of distal third tibial defect after Gustilo type III open fracture [ J]. J Reconstr Microsurg, 2013, 29 (2) : 113-116.
  • 3Harry LE, Sandison A, Pearse MF, et al. Comparison of the ~ laseularity of fasciocutaneous tissue and muscle for coverage of open tibial fractures [ J ]. Plast Reconstr Surg, 2009, 124 ( 4 ) : 1211- 1219.
  • 4Bashir AH. Inferiorly-based gastrocnemius muscle flap in the treatment of war wounds of the middle and lower third of the leg [ J]. Br J Plast Surg, 1983, 36(3) : 307-309.
  • 5Pu LL. Soft-tissue coverage of an extensive mid-tibial wound with the combined medial gastrocnemius and medial hemisoleus muscle flaps : the role of local muscle flaps revisited [ J ]. J Plast Reconstr Aesthet Surg, 2010, 63(8) : e605-610.
  • 6Chung YJ, Kim G, Sohn BK. Reconstruction of a lower extremity soft-tissue defect using the gastrocnemius musculoadipofascial flap [J]. Ann Plast Surg, 2002, 49(1) : 91-95.
  • 7Moscona RA, Fodor L, Har-Shai Y. The segmental gastrocnemius muscle flap: anatomical study and clinical applications [ J ]. Plast Reconstr Surg, 2006, 118(5) : 1178-1182.
  • 8Tsetsonis CH, Kaxira OS, Laoulakos DH, et al. The inferiorly based gastrocnemius muscle flap: anatomic aspects [ J ]. Plast Reconstr Surg, 2000, 106(6): 1312-1315.
  • 9Tsetsonis CH, Kaxira OS, Laoulakos DH, et al. The arterial communication between the gastrocnemius muscle heads: a fresh cadaveric study and clinical implications ~ J]. Plast Reconstr Surg, 2000, 105 ( 1 ) : 94-98.
  • 10Knopp W, Buchholz J, Muhr G, et al. Negative effects of local tibial muscle flap repair on foot function [ J 1. Unfallchirurg, 1993, 96(5) : 229-234.

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