耳大神经营养血管皮瓣的应用解剖.pdfVIP

372 量丝匡堂2堂生筮兰Z鲞筮墨翅 耳大神经营养血管皮瓣的应用解剖 柏士平潘拥军 [摘要]目的为设计耳大神经营养血管皮瓣提供解剖学依据。方法在36侧经股动脉插管灌注红色乳胶溶 液的成人尸体标本上，对耳大神经营养血管的横径、长度及穿深筋膜点的位置进行观测。结果耳大神经营养血管主要 来自耳后动脉皮支及枕动脉肌皮支，其浅出点横径分别为0．48±0．16mm及0．55±0．12mm，穿深筋膜后长度18．96± 3．15 mm及20．14±4．36 ram；营养血管呈节段性分布，于神经旁0．4cm范围内形成顺沿耳大神经的纵向链式吻合血管。 结论耳大神经营养血管皮瓣的设计具有可行性。 [关键词] 耳大神经；皮神经营养血管皮瓣；应用解剖 ofcutaneousneurovascularwith auricular Appliedanatomy flaps great nerve Bai Yong]un Shiping，Pan TheFist 332000 DepartmentofBurn，JiujiangPeopleHospital，Jiujiang To anatomicalbasisfortheclinical ofcutaneousneumvascularwith [Abstract]Objective provide application flaps auricularnerve．MethodsThe and fasciaof auricularnerveanditsnutrient great diameter，lengthpositionperforating great deep vesselswereobservedon36adultcadaver withred the wasimitatedon latex，and specimentsperfused operation Thenutrientvesselsof auricularnerve from of thecutaneousbranchers auricularandOC- great mainlyoriginated posterior artery theirdiamaterswere0．48±0．16mmand0．55±0．12mm after fas— eipital lengthes artery，and respectively，andperforatingdeep ciawere18．96±3．15mmand20．14±4．36mm．anda VasCularnetworkwasformedthenutrientvesselsabove longitudinal by distributed about0．4cm from auricularnerve．ConclusionThecutaneousneurovascu]arwith