带蒂尺侧腕屈肌转位重建屈肘功能的应用解剖

Applied anatomy of flexor carpi ulnaris transposition for elbow flexion restoration

在３１侧成人上肢标本上，按带血管神经蒂转位重建屈肘功能要求，观测了尺侧腕屈肌及其血供和神经支配。尺侧腕屈肌的血管蒂主要是尺侧返血管和尺血管的分支，以尺侧返血管分支为首选。支配尺侧腕屈肌的尺神经肌支长度多数不影响肌转位。按照保留尺侧腕屈肌主要血管和神经支配，切断肌起止两端，经肌下和皮下隧道，转位到肱二头肌正常解剖位置的术式设计，分析了血管神经蒂的选择和保护，讨论了术中应注意的问题和术式的优缺点。

or restoration of elbow flexion, the flexor carpi ulnaris and it nerve and blood supplies wereanatomically studied on 31 cases of adult upper limb specimens.The muscle is mainly supplied bythe ulnar recurrent artery and the branches of the ulnar artery,of which the ulnar recurrentartery is operatively preferable. The muscular nerve is a branch of the ulnar nerve,which is longenough for local transposition. Clinically,the muscle can be transferred,with its nerve and mainblood vessels,to the position of biceps brachii for restoration of elbow flexion.