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为枕骨骨膜瓣的临床应用提供解剖学基础。在6 具成人尸体标本上观测了枕骨骨膜瓣的血管分布。结果发现枕动脉发出骨膜支(120 ±18) 个分支,分支起始处外径为(02 ±01) m m ,枕动脉枕支起始处外径为(12 ±02) m m 。椎动脉枕部的外径为(2 .9±02) m m ,发出骨膜支(35 ±05) 支,其分支起始处外径为(02±007) m m 。骨膜血管网与对侧吻合丰富。结果提示可设计带骨膜血管蒂的枕骨骨膜瓣向下翻转植骨修复枕颈部骨缺损。
To provide an anatomical basis for the clinical application of occipital periosteal flap. The vascular distribution of the occipital periosteal flap was observed on 6 adult cadaver specimens. The results showed that the branch of periosteum (120 ± 18) was found in the occipital artery. The outer diameter of branch was (02 ± 01) m m. The diameter of the occipital artery at the beginning was (1 2 ± 0 2) m m. The diameter of the vertebral artery occipital was (2.9 ± 0.2) m m and the branch of periosteum (3.5 ± 0.5) was found. The diameter at the beginning of the branch was (02 ± 007 ) M m. Periosteal vascular network and contralateral anastomosis. The results suggest that the pedicled periosteal flap with periosteal pedicle can be designed to flip the bone graft to repair the occipital and cervical bone defects.