阴股沟移植皮瓣的应用显微解剖学基础

Applied microanatomic study of pudendal-thigh skin flap

目的:明确阴股沟移植皮瓣的动脉、静脉及神经的显微解剖基础。方法:实验于2004-04/09于解放军第二军医大学解剖教研室完成。取成人尸体11具,男性6具,女性5具,均为捐献遗体。模拟临床皮瓣切取方式,对22侧成人尸体阴股沟皮瓣区包含的血管、神经进行观测,并进行深部组织解剖,追溯血管、神经来源并记录。结果:阴股沟区动脉血液供应充足,静脉回流丰富,具有丰富的血管吻合网,位置比较恒定,动脉尤以阴部外动脉最为恒定。神经来源及支配区域较恒定。结论:阴股沟移植皮瓣血运丰富,解剖简便易行,切取方便,供区隐蔽,是一种值得推广的方法。

AIM： To investigate the microanatomic base of vessels and nerves for pudendal-thigh skin flap. METHODS： The experiment was carded out in the Department of Anatomy, the Second Military Medical University of Chinese PLA from April to September in 2004. Skin microdissection of pudendal regions was performed on 11 cadavers （6 males and 5 females, 22 sides） to examine the vessels and nerves in pudendal-thigh skin flap. Deeper tissues were dissected to trace and record the sources of vessels and nerves. RESULTS： The blood supply of pudendal regions was plentiful and constant. With the copious vascular anastomosis net, the position of all vessels was relatively constant, especially the external pudendal artery. The nerve allocations were also relatively constant. CONCLUSION： The pudendal-thigh skin flap has abundant blood supply, convenience for dissection, easy incision, and donor site is covert. So it is favorably applicable.