以旋髂深血管或腹壁主要升支为蒂腹膜瓣的应用解剖

Applied anatomy of peritoneal flap supplied by deep circumflex iliac artery or its large ascending branch

在１２具灌注红色乳胶和墨汁的成人尸体的显微解剖发现，旋髂深动脉的腹壁主要升支为腹前外侧壁层腹膜的主要营养血管。腹壁主要升支大多起于旋髂深动脉的腹股沟段，走行于腹内斜肌和腹模肌之间，并向深面发支营养壁层腹膜。腹壁主要升支起始处动脉口径１．４±０．４ｍｍ，伴行静脉口径２．０±０．６ｍｍ，长为９．０±３．４ｃｍ。结果提示：以旅髂深动脉或腹壁主要升支为蒂可形成腹膜组织瓣，可局部转位或游离移植用于修复尿道、输尿管、肝外胆道和中等口径血管。

issected on 12 adult cadavers,we found a large ascending branch of deep circumflex iliacartery which was distributed to the parietal peritoneum. The branch usually arises from the in-guinal course of deep circumflex iliac artery and runs upward between the obliquus internus abdo-minis and the transversus abdominis,and its deep terminal nourishes the peritoneum. It is 1. 4mmin outer diameter and 9.0mm in length.Its accompanying vein is 2.0mm in diameter.Clinically thedeep circumflex iliac artery or its large ascending branch may serve as a vascular pedicle for localor free transplantation of peritoneal flap.