股薄肌瓣应用于舌再造的相关解剖学研究-中华口腔医学杂志介绍.doc

股薄肌瓣应用于舌再造的相关解剖学研究 周剑虹 黄欣 任常群 郭晓丹 [摘要] 目的：研究股薄肌瓣的相关解剖学特征，应用于舌再造。方法：解剖了15具尸体标本的30块股薄肌，对股薄肌的形态学指标以及血管神经蒂的、长度、等进行了解剖学观测。结果: 股薄肌全长41.8±3.9cm、31.0±3.6cm，3.2±0.7cm、1.7±0.2cm。股薄肌血供为多源性-5支血管蒂从其前缘深面进入并营养股薄肌及吻合均恒定闭孔神经前支，。结论: 股薄肌瓣位置表浅，形态，，一种较好选择。 [关键词] Applied anatomical study of the gracilis muscle flap for tongue reconstruction ZHOU Jian-hong, Huang-xin, REN Chang-qun, GUO Xiao-dan.Department of Maxillofacial surgery, 180th Hospital of PLA, Quanzhou 362000, China [Abstract] Objective: To study anatomic features of the gracilis muscle flap and explore its clinical application in tongue reconstruction. Methods: 30 gracilis muscles in 15 cadavers were dissected, and the morphometric parameter of the gracilis muscle and the origin, length, diameter of the vascular and nerve pedicle were observed and measured. Results: The length of the total gracilis and the muscle belly was 41.8±3.9 cm and 31.0±3.6cm respectively, the width and thickness of the muscle was3.2±0.7cm and 1.7±0.2cm respectively. The blood supply to the gracilis originated from multiple source vessles, and Two to five pedicles supply the gracilis from its deep surface and enter the muscle near its anterior border, of which the dominant pedicle and the first distal pedicle were consistent in their anatomy which originated from the profunda femoris vessels and the femoris vessels respectively, the length and external diameter of these vessels were suitable for microvascular anastomosis; while other vessel pedicles were neither consistent in their anatomy nor the length and external diamiter suitable for microvascular anastomosis. The motor nerve to the gracilis The nerve to the gracilis arose from the anterior division of the obturator nerve consistently and its length and external diameter was suitable for anastomosis with the hypoglossal nerve. Conclusion: Because of superficial location, excellent morphological match for tongue, consistency in its vascular and neural pedicle’s anatomy and suitability of neurov