摘要
再植或修复掌中部挤压住离断伤时，毁损或缺失的掌浅弓及指掌侧总动脉起始段由于口径，数目的差别，而难以与近端的尺、桡动脉断端相吻合。作者采用进行瓣膜处理后的足背静脉弓连同跖背静脉顺行移植代掌浅弓及指掌测总动脉起始段两例，均获成功。对于瓣膜，手术时先将足背静脉弓上大、小隐静脉端与桡、尺动脉吻合，观察数分钟后，血流可通过的瓣膜不做处理。血流受阻处则剪开瓣膜后再缝合静脉切口。
t is difficult to perform anastomoses
between the proximal radial and ulnar arteries,the in-jured palmar
arch and distal end of common digital arteries in repairing
crush-division of mid-palmbecause of the difference in their
diameters and numbers. Based on the anatomical studies on
dis-tribution and diameter of dorsal parts of venae saphena
magna,parva,dorsal venous arch and dor-salis pedis venous ,and
distribution and number of venous valves,the dorsal venous arch with
dor-salis pedis venous was transplanted anterogradely and anastomosed
with radial and ulnar arteriesto replace superficial palmar arch and
initial part of digital arteries. The operation has been per-formed
successfully in two cases.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1994年第4期267-269,共3页
Chinese Journal of Clinical Anatomy
关键词
足背静脉弓
静脉瓣
静脉移植
dorsal venous arch
superficial
palmar arch injury
transplantation
