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在45侧成年男性下肢标本上,观测了股中间肌近端的动脉来源、分支,走行和旋股外侧动脉降支。股中间肌近端动脉来源较多,发于旋股外侧动脉的57.7%,其骨膜支长3.6cm,发出后向下斜行至骨面,贴骨面呈节段分布,长达6.0cm 以上。旋股外侧动脉降支外径3.2mm,长9.2cm。经尸体摹拟手术,可设计以该血管为蒂的股骨瓣作支撑体与股前外侧皮瓣转位再造阴茎。本文对手术设计、骨片切取和血管蒂的处理等有关应用解剖学要点进行了讨论。
In 45 male adult lower extremity specimens, the arterial sources, branches, pedicles and proximal femoral circumflex artery branches were observed. Femoral middle muscle proximal artery more sources, made in the circumflex femoral artery 57.7%, periosteum length of 3.6cm, issued after the oblique down to the bone surface, attached to the bone surface was segmented, up to 6.0cm or more . Rotary lateral femoral artery descending branch diameter 3.2mm, length 9.2cm. The corpse mimic surgery can be designed to the vascular pedicle femoral flap as the support and transposition of the anterolateral flap re-create the penis. This article discusses the anatomical points of surgical design, bone chip removal, and vascular pedicle handling.