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在50侧成年尸体的头颅血管灌注有色填充剂,观测额顶颞区皮瓣的血管。分布于这一区域的主要血管为颞浅血管,此外耳后血管、眶上血管和滑车上血管亦参与该区的分布。颞浅动脉是最大的一支头皮动脉,分布面积占整个头皮的57.38±6.05%。额支和顶支是它的两分支。额支存在恒定,它的管径、分布面积都比顶支大,是一支优势血管。颞浅静脉是颞浅动脉的伴行静脉,静脉顶支的出现率恒定,管径比静脉额支大。统计了颞浅动脉与相邻头皮动脉间的吻合血管,为跨正中线超长皮瓣的设计提供了解剖学依据。本文讨论了以额支为血管蒂的前额瓣及以顶支为血管蒂的头皮瓣。
At 50 adult corpses, cranial blood vessels were infused with colored filler to observe the blood vessels of the forefront temporal flap. The main blood vessels distributed in this area are the superficial temporal vessels. In addition, the vessels behind the ear, supraorbital vessels and the vessels on the trochlea are also involved in the distribution of this area. The superficial temporal artery is the largest scalp artery, accounting for 57.38 ± 6.05% of the total scalp. The forehead and the top branch are its two branches. Extent of existence of a constant amount, its diameter, distribution area than the top branch is a dominant blood vessels. Temporal superficial vein is a superficial temporal artery accompanying vein, the incidence of venous apex is constant, diameter than the large amount of the vein. The anastomosis vessels between the superficial temporal artery and adjacent scalp arteries were counted, which provided the anatomical basis for the design of super long flap across midline. This article discusses the forearm with a forearm pedicle and a pedicle with a capitated pedicle.