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[股直肌的神经血管解剖及其临床意义]

[The neurovascular anatomy and its clinical implication of the rectus femoris muscle].

作者信息

Yang Da-ping, Chen Tian-xin, Xu Xue-wu, Guo Tie-fang, Han Xue-feng

机构信息

Division of Plastic Surgery, Second Hospital of Harbin Medical University, Harbin 150086, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2003 Jan;19(1):15-7.

PMID:12778786
Abstract

OBJECTIVE

The objective of this anatomic study was to investigate the intramuscular neurovascular configuration and to evaluate whether the muscle could be split into two functional units in transplantation.

METHODS

Ten fresh cadavers and ten preserved cadavers were used in the study. A mixture of lead oxide, gelatin and water was injected to the femoral artery of the fresh cadaver. The rectus femoris muscle with its neurovascular pedicles was dissected and radiographed.

RESULTS

Three vascular patterns of the rectus femoris muscle were found in the 40 cadaver legs. The muscle received its blood supply through a single vascular pedicle (12.5%), or a dominant pedicle with 1-2 ramified (80%), or two dominant vascular pedicles (7.5%).

CONCLUSIONS

The study provided a detailed description on the intramuscular neurovascular territories of the rectus femoris muscle. Based on the neurovascular supply of the muscle, it is possible to subdivide the muscle into two functional units for segmental muscle transfer.

摘要

目的

本解剖学研究的目的是调查股直肌内神经血管的结构,并评估在移植过程中该肌肉是否可被分为两个功能单位。

方法

本研究使用了10具新鲜尸体和10具防腐尸体。将氧化铅、明胶和水的混合物注入新鲜尸体的股动脉。解剖带有神经血管蒂的股直肌并进行X线摄影。

结果

在40条尸体下肢中发现了股直肌的三种血管模式。该肌肉通过单一血管蒂(12.5%)、或带有1 - 2个分支的优势血管蒂(80%)、或两个优势血管蒂(7.5%)接受血液供应。

结论

本研究对股直肌内神经血管分布区域进行了详细描述。基于该肌肉的神经血管供应情况,有可能将该肌肉分为两个功能单位用于节段性肌肉转移。

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