斜方肌肌(皮一骨)瓣的巨微解剖

MACRO-MICRO-ANATOMY OF TRAPEZIUS FLAP

本文对50侧成人标本的斜方肌进行了观察,部分标本作了X线造影摄片。测量了全肌上、中、下三部的长度,宽度和厚度。本文还对可供移植进作固定用的二个腱性部分作了观察和测量。根据血供,斜方肌全肌或肌的上、中部可以颈横动脉浅支及其伴行静脉、副神经以及颈丛的斜方肌支做成肌瓣。取下部作肌瓣时,应以肩胛背动脉为蒂。斜方肌上、中部表面的皮肤除可以和斜方肌一起做成肌皮瓣外,还可以单独做成皮瓣,而下部的皮肤最好和肌肉一起做成肌皮瓣。肩胛冈可以同斜方肌一起作成肌骨瓣,为此本文测量了肩胛冈的长度,及其营养动脉的长度和外径。

50 cases of trapezius muscles with their vessels and nerves have been studied.The length,width and thickness of the whole muscle and of its upper,middle and lower parts have been measured seperately.The two tendinous parts which can be used for fixation in surgical reconstrction have also been observed and measured.