| 刘鸣江，许云华，吴攀峰.游离腓骨瓣嵌合腓动脉穿支皮瓣的应用解剖.[J].中南医学科学杂志.,2012,40(6):563-566. |
| 游离腓骨瓣嵌合腓动脉穿支皮瓣的应用解剖 |
| Applied Anatomy of the Free Fibula Flap Mosaic of the Peroneal Artery Perforator Flap |
| 投稿时间：2012-09-21 |
| DOI： |
| 中文关键词: 穿支皮瓣 嵌合皮瓣 腓动脉 小腿 应用解剖 |
| 英文关键词:perforator flap mosaic flap the peroneal artery calf applied anatomy |
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| 中文摘要: |
| 目的为腓骨瓣嵌合腓动脉穿支皮瓣的临床应用提供解剖学基础。方法20例新鲜成人带膝关节的小腿标本，红色乳胶灌注后进行解剖。将腓骨分为三段，观测各段腓动脉发出的皮穿支及骨穿支的分布、数目、蒂长、外径、走行及两种穿支之间的关系。结果腓动脉于腓骨头下方7.23±3.76 cm开始贴紧腓骨走行并发出穿支。小腿中段穿支血管恒定。数目最多,骨、皮穿支均为5±1支；管径最大，皮穿支为1.12±0.56 mm，骨穿支为0.82±0.44 mm；皮穿支血管蒂较长为6.38±1.72 cm。腓动脉的骨、皮穿支基本在不同位置（间距小于2 cm）。 |
| 英文摘要: |
| ObjectiveTo provide anatomical basis for the application of the fibula flap Mosaic of the peroneal artery flap.MethodsTwenty fresh adult leg with knee joint specimens injected with red latex were dissected.Fibulas were divided into three sections,the distribution,number,pedicle length,diameter,travel of the peroneal artery skin perforators and bone perforators were observed,and the relationship between skin perforators and bone perforators were measured and analyzed.ResultsThe peroneal artery began to adhere fibula and give the perforators under fibular head 7.23±3.76 cm.The skin perforators and the bone perforators constantly appeared in the midpiece of legs.The numbers of perforators to be most in this interval are 5±1 branch;the largest diameter,skin perforators for 1.12±0.56 mm,bone perforators for 0.82±0.44 mm;Skin perforators vascular pedicle long for 6.38±1.72 cm.The skin perforators and bone perforators of the peroneal artery almost appeared in different position (spacing below 2 cm).ConclusionThe skin perforators and bone perforators of the peroneal artery have a close relationship and possess vascular characteristicsof Mosaic flap,and are suitable for flexible design of the fibula flap Mosaic of the peroneal artery flap. |
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