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目的 为肩胛上动脉冈上支肩胛冈骨瓣移植 ,提供应用解剖学基础。 方法 在 3 0侧经动脉灌注红色乳胶的成人尸体标本上 ,解剖观测肩胛上血管冈上支的起源、走行、分支及分布 ;另在 6侧标本上摹拟手术设计。 结果 冈上支自肩胛上动脉发出后 ,向内走行于冈上肌与骨面之间 ,冈上支干长 (4 8± 0 6)cm ,沿途发出 3~ 4条外径在 0 5~ 0 8mm的骨膜支分布于肩胛冈。 结论 以肩胛上血管冈上支为蒂的肩胛冈骨瓣移植术具有可行性。
Purpose for suprascapular superior mesenteric scapular flap transplantation, to provide the basis for the application of anatomy. Methods The origin, course, branch and distribution of supraspinatus on the suprascapular vessel were dissected on adult cadaver specimens with red latex infused on the 30 sides. The other 6 specimens were simulated. Results Gang supranucleus after the suprascapular artery was issued, the inward running in between the supraspinatus and the bone surface, supraspinatus stem length (4 8 ± 0 6) cm, issued along the way 3 to 4 outside diameter 0 5 ~ 0 8mm periosteal branch distributed in the scapular Gang. Conclusion Scapular bone flap pedicled with supraspinatus supraspinatus is feasible.