带肱深血管蒂肱骨（膜）瓣移位的应用解剖

Applied anatomy of the humeral osteoperiosteal flap pedicled with the deep brachial vessels

在３０侧上肢标本上，解剖观测了肱骨远１／３段外侧半的血管。肱深动脉在挠神经沟近端分为中副动脉和桡侧副动脉，后者发掌侧支随桡神经行向前下，发背侧支出桡神经沟，沿外上髁嵴下行，沿途分支分布于邻近区域的骨和肌肉，未端于外上髁表面与桡侧返动脉吻合。根据解剖结果，设计了带肱深血管蒂肱骨（膜）瓣移位修复肱骨不连接或骨缺损。

Thirty adult cadaveric upper limbs were observed for studying the nutrient branches to thelateral half of distal third humerus. The deep brachial artery divides into a middle collateral arteryand aradial collateral artery at the proximal end of the radial groove, The latter divides further in-to two branches :the anterior branch following the radial nerve,and the posterior leaving the radi-al groove and descending along the crest of the lateral epicondyle. It gives off branchlets to the ad-jacent muscles and the bone and its terminals anastomose with radial recurrent artery on the sur-face of the lateral epicondyle. According to the results,a humeral osteoperiosteal flap pedicledwith the deep brachial vessel was designed for repairing the defect of the humerus.