摘要
对小鱼际皮瓣进行显微解剖观察,发现其血供来源为:(1)尺动脉主干发出3~7个皮支,其中1支较恒定称之为尺动脉小鱼际皮支;(2)小指固有动脉发出4~6皮支营养该区域;(3)尺动脉深支发出的皮支、肌皮支。其静脉回流为:(1)动脉皮支的伴行静脉;(2)手掌侧皮下静脉网。其神经支配为尺神经浅支发出的1~2个皮支。小鱼际皮瓣有独立的动、静脉及神经支配,我们认为应用此皮瓣来修复大鱼际区、腕掌侧及手指皮肤缺损是一有效的好方法。
Abstract The microsurgical anatomy of hypothenar flap was investigated. The sources of blood supply of the flap are: (1)3 ̄7cutaneous branches from ulnar artery trunk, one of which is relatively permanent and was named hypothenar cutaneous brancb of the ulnar artery ; (2) 4 ̄6 cutaneous branches from proper arteries of the little finger; (3)the cutaneous and muscular branches from the deep branch of the ulnar artery. The drainage veins are: (1) concomitant vein of the cutaneous branehes of artery ; (2)Palmar subcutaneous venous network.The flap was innervated by 1 ̄2 cutaneous branches from superior branch of ulnar nerve. With iudependent arterial, venous and nerve supply, this flap is suitable in the treatment of hyperthenar, pslmar wrist and finger skin defect.
出处
《中华手外科杂志》
CSCD
1995年第2期93-94,共2页
Chinese Journal of Hand Surgery