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目的 :探讨胫骨后肌神经血管蒂为肌瓣移植提供解剖学资料。方法 :在 30侧人下肢标本上进行了显微解剖并观察了胫骨后肌神经、血管的关系。结果 :胫骨后肌神经起自胫神经 ,始部横径左侧 1.30± 0 .0 5( 1.0 2～ 1.68)mm;右侧 1.36± 0 .0 7( 1.0 2～ 1.98) mm。蒂长左侧 3.2 1± 0 .33( 1.82～ 5.60 ) cm;右侧 3.0 5± 0 .19( 1.80～ 4 .16)cm。伴行动脉外径左侧 1.36± 0 .12 ( 1.0 2～ 2 .38) mm;右侧 1.50± 0 .10 ( 1.0 2～ 2 .36) mm。结论 :选用以神经肌支和伴行血管为蒂的胫骨后肌神经血管蒂可转位修复因腓浅神经或腓深神经损伤引起的小腿外侧群、前群肌瘫痪
Objective: To explore the anatomical data of the posterior tibial nerve neurovascular pedicle for transplantation of muscle flap. Methods: The microstructure of 30 lower extremities was dissected and the relationship between the posterior tibial nerve and blood vessels was observed. Results: The posterior tibial nerve originated from the tibial nerve. The diameter of the origin was 1.30 ± 0.05 (1.02-1.68) mm on the left and 1.36 ± 0.07 (1.02-1.98) mm on the right. The left side of the pedicle length 3.2 1 ± 0.33 (1.82 ~ 5.60) cm; the right 3.0 5 ± 0.19 (1.80 ~ 4.16) cm. The left circumferences of accessory arteries were 1.36 ± 0.12 (1.02 ~ 2.38) mm; the right was 1.50 ± 0.10 (1.02 ~ 2.36) mm. Conclusion: The neurovascular pedicles of the posterior tibialis posterior to the nerve branches and vessels can be translocated to repair the lateral leg group and the anterior group muscle paralysis caused by the injury of the superficial peroneal nerve or the deep peroneal nerve