胸肩峰动脉肩峰支逆行锁骨骨膜(骨)瓣移位术的应用解剖

Applied Anatomy of Stem Against Clavicle Periosteal( Bone) Flap with Acromal Branch of Thoracoacromal Artery for Transposition

目的:为修复肱骨近端提供新的手术方法。方法:在40例成人尸体标本上,观察了胸肩峰动脉走行、分支及分布。结果:胸肩峰动脉肩峰支沿途发出3～5支、外径0.3～0.5mm的骨膜支分布锁骨中外段后参与肩峰网形成;其长度5.1±0.4crn、外径1.2±0.2mm。锁骨支有1～3支、外径0.2～0.5mm的骨膜支分布锁骨中内段;其长度2.0±0.1cm、外径1.2±0.2mm。结论:可设计以胸肩峰动脉肩峰支蒂逆行锁骨骨膜(骨)瓣转位修复肱骨近端的新术式。

Objective:To provide a new way of operation for repairing fracture necrosis of proximal humoral. Methods: The course,branches and distributions of thoracoacromal artery were observed on 40 sides of adult cadaves. Results:The acromal branch of thoracoacromal artery along the way sent off 3 - 5 periosteal branches with a diameter of 0.3 ± 0. 5mm to distribute the middle outboard part forming part of acromal artery net. The length was 5.1 ± 0. 4cm with a diameter of 1.2 ± 0.2mm. There were 1 - 3 clavicular branches with a diameter of 0. 3 ± 0. 5mm distributing the inside part 1 /2, the length was 2.0± 0. 1cm with a diameter of 1. 2 ± 0. 2mm. ± Conclusion: A new operation can be designed for repairing fracture necrosis of proximal humoral by transposing clavicle periosteal ( bone) flap with the acromal branch of thoracoacromal artery.