吻合血管的股前中区皮瓣修复手足皮肤缺损

VASCULARIZED ANTERO-MIDDLE FEMORAL SKIN FLAP FOR REPAIR OF SKIN DEFECTS OF HAND AND FOOT

应用33只下肢标本进行观察,发现在耻骨结节下15cm处,缝匠矶外缘或内缘,有由股动脉发出的直接皮动脉,供给股前中区皮肤血循环。此区皮肤有股神经皮支,可形成吻合血管、神经的皮瓣供远位移植。1989年,临床应用4例,均获成功。详细介绍了解剖、手术设计、操作方法、临床效果等。

From the observation of 33 specimens of the lower extremities it was discovered that at a point where 15cm below the pubic tubercle, at the lateral or medial border of the sartorius muscle, the femoral artery gave rise a cutancous artery supplying the skin of the anteromiddle of the thigh. At the same area, the skin was innervated by the cutaneous branch of the femoral nerve. According to this anatomic peculiarity of the distribution of the artery and nerve, a skin flap having neurovascular bundle could be constructed from that area for distant transfer. From 1989, this technique had been done in 4 cases with satisfactory results. The related anatomy, operative design, surgical technique and the clinical results were detailed.