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胸神经后皮支及其营养血管的解剖学研究
引用本文:梁大宁,罗少军,汤少明,吕端远,张新营.胸神经后皮支及其营养血管的解剖学研究[J].湛江医学院学报,2002,20(6):415-417.
作者姓名:梁大宁  罗少军  汤少明  吕端远  张新营
作者单位:广东医学院整形外科研究所,广东医学院整形外科研究所,广东医学院整形外科研究所,广东医学院整形外科研究所,广东医学院整形外科研究所 广东湛江,524001,广东湛江,524001,广东湛江,524001,广东湛江,524001,广东湛江,524001
基金项目:教育部高等学校骨干教师资助计划项目
摘    要:目的:为临床设计背部皮神经营养血管皮瓣提供解剖学基础。方法:在l7例34侧成人躯干标本上,用显微解剖法观测第l—l2胸神经后皮支及其营养血管的来源.走行及分布规律。结果:第l—l2胸神经后皮支的伴行动脉为肋间后动脉的背侧皮支。皮神经及其伴行动脉于脊柱两旁相应肋间穿出深筋膜,呈节段性、重叠性分布于背部皮肤,皮神经营养血管相互间形成丰富的吻合。结论:可设计以第l—12胸神经后皮支及其营养血管为蒂的皮神经营养血管皮瓣。

关 键 词:胸神经  后皮支  解剖学研究  营养血管皮瓣
文章编号:1005-4057(2002)-06-0415-03
修稿时间:2002年3月7日

Anatomic study on the posterior cutaneous branches of T1-12 and their nutrient vessels
LIANG Daning.LUO Shaojun,TANG Shaoming,et al.Anatomic study on the posterior cutaneous branches of T1-12 and their nutrient vessels[J].Journal of Guangdong Medical College,2002,20(6):415-417.
Authors:LIANG DaningLUO Shaojun  TANG Shaoming  
Abstract:Objective:To provide the anatomic basis for the design of neurocutaneous vascular flap(NCVF) on the back.Methods:The origin.course and distribution of the posterior cutaneous branches of T 1 12 and their nutrient vessels were observed with microdissection in 17 adult cadavers. Results:The posterior cutaneous branches of T 1 12 accompanied by the dorsal cutaneous branches of the posterior intercostal arteries penetrated the corresponding intercostal tissues,and exhibited a segmental and overlapping distribution on the back.There were copious anastomoses among the nutrient vessels along the courses of cutaneous nerve rami.Conclusion:NCVE on the back can be developed owing to the posterior cutaneous branches of T 1 12 and their nutrient vessels constituting the pedicle.
Keywords:neurocutaneous vascular flap  thoracic nerve  posterior cutaneous branch
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