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膝周血管的应用解剖与骨肿瘤保肢术受区血管的选择
plied anatomy for the selection of the recipient vessel in limb - salvage surgery for malignant bone tumors around the knee</p> <span class="by"></span>
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<p class='class'><strong>文献类型：</strong>期刊文章</p><p class='author'><strong>作 者：</strong><b class='type_ico_id'></b>周建生[1] <b class='type_ico_id'></b>叶永杰[1] <b class='type_ico_id'></b>苗华[2] </p><p class='en'> </p><p class='organ'><strong>机构地区：</strong><b class='type_ico_id'></b>[1]蚌埠医学院附属医院骨科,安徽蚌埠233004 <b class='type_ico_id'></b>[2]蚌埠医学院临床应用解剖研究所 </p><p class='from'><strong>出 处：</strong><a target='_blank'><b class='type_ico_id'></b></a>《解剖与临床》</p><p class='class'><strong>年 份：</strong>2004</p><p class='class'><strong>卷 号：</strong>9</p><p class='class'><strong>期 号：</strong>3</p><p class='class'><strong>起止页码：</strong>137-141</p><p class='class'><strong>语 种：</strong>中文</p><p class='class'><strong>收录情况：</strong>普通刊</p><p class='abstrack'><strong>摘 要：</strong>目的:为临床施行带血管骨移植修复膝关节周围肿瘤性骨缺损、选择恰当的受区吻合血管提供解剖学依据。方法:在30具(60侧)成人尸体下肢标本上,观测膝关节周围血管来源、走行、管径、可游离长度等。结果:膝降动脉于股骨内上髁最高点近侧(11.23±1.30)cm处起自股动脉前内侧壁,外径(2.39±0.32)mm,主干长3.2cm;半膜肌支于股骨内上髁最高点近侧7.9cm处起自腘动脉后壁,外径(2.17±0.20)mm,蒂长(5.39±1.09)cm;腓肠动脉内侧支于股骨内上髁最高点近侧(0.69±0.57)cm处起自腘动脉内侧壁,起始外径(2.16±0.24)mm,主干长(3.90±0.95)cm;腓肠动脉外侧支于腓骨头最高点近侧(4.3±0.80)cm处起自腘动脉外侧壁,起始外径(2.09±0.22)mm,主干长(4.03±1.16)cm。结论:①选取最佳的受区血管应综合考虑血管的解剖位置、变异情况、外径、蒂长以及是否受肿瘤侵犯等因素;②腓肠血管可作为膝周骨肿瘤保肢术的首选吻合血管,膝降血管、半膜肌血管可作为备选血管;③腘动脉关节支不适于作为骨肿瘤保肢术的受区吻合血管;④行同种异体全关节或半关节移植时应选下肢的主干血管作为吻合血管。</p><p class='subject'><strong>关 键 词：</strong><b class='type_ico_id'></b>吻合血管 <b class='type_ico_id'></b>保肢术 腘动脉 <b class='type_ico_id'></b>骨肿瘤 股骨 <b class='type_ico_id'></b>半膜肌 下肢 膝关节 应用解剖 <b class='type_ico_id'></b>肿瘤侵犯 </p><p class='class'><strong>分 类 号：</strong>R322] R738.1[基础医学类] </p>
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