图4-3胸大肌、三角肌间隙胸肩峰动脉有多条皮支发至胸大肌表面皮肤、三角肌表面皮肤及肩部皮肤。1.三角肌deltoidm.2.胸肩峰动脉肌间隙皮支spatiumintermuscularecutaneousbr.ofthoracoacromiala.3.胸肩峰动脉皮支cutaneousbr.ofthoracoacromiala.4.胸肩峰动...[继续阅读]

    图4-15胸大肌皮瓣的切取示意图1.头静脉cephalicv.2.胸肩峰动脉肩峰支acromialbr.ofthoracoacromiala.3.三角肌deltoidm.4.胸肩峰动脉肌间隙皮支spatiumintermuscularecutaneousbr.ofthoracoacromiala.5.胸三角皮瓣deltopectoralflap6.喙肱肌coracobrachialm.7.肱二头肌短头...[继续阅读]

    图4-16胸外侧部血管体表投影位置及组织瓣设计示意图1.肩胛下动脉subscapulara.2.旋肩胛动脉circumflexscapulara.3.胸背动脉thoracodorsala.4.背阔肌latissimusdorsim.5.以胸外侧皮动脉为蒂切取皮瓣skinflappedicledwithlateralthoraciccutaneousa.6.前锯肌serratusa...[继续阅读]

    图4-17切开皮肤1.皮神经cutaneousn.2.胸大肌pectoralismajor3.胸外侧皮动脉lateralthoraciccutaneousa.图4-18皮瓣向后翻,显露胸外侧皮动脉1.皮神经cutaneousn.2.胸外侧皮动脉lateralthoraciccutaneousa.3.胸大肌pectoralismajor4.前锯肌serratusanteriorm.该标本胸外侧皮...[继续阅读]

    图4-25掀起背阔肌外缘,充分显露胸外侧血管神经1.旋肩胛动脉circumflexscapulara.2.胸背神经thoracodorsaln.3.肩胛下肌subscapularism.4.胸背动脉thoracodorsala.5.胸背动脉背阔肌支latissimusdorsibr.ofthoracodorsala.6.胸背动脉前锯肌支serratusanteriorbr.ofthoraco...[继续阅读]

    图4-26胸外侧部皮瓣切取示意图1.胸外侧皮动脉lateralthoraciccutaneousa.2.以胸外侧皮动脉为蒂的皮瓣skinflappedicledwithlateralthoraciccutaneousa.3.胸大肌pectoralismajor4.前锯肌serratusanteriorm....[继续阅读]

    图4-27胸前部血管体表投影及组织瓣设计示意图1.胸锁乳突肌sternocleidomastoidm.2.胸廓内动脉internalthoracica.3.胸廓内动脉穿支perforatingbr.ofinternalthoracica.4.以胸廓内动脉为蒂设计皮瓣designofskinflappedicledwithinternalthoracica.5.肋弓costalarch6.锁骨...[继续阅读]

    图4-28胸前部纵行断层解剖1.肋间前静脉anteriorintercostalv.2.肋间前动脉anteriorintercostala.3.肋间神经intercostaln.4.肋下缘inferiorborderofcostalbone5.肋间内外肌intercostalesinterniandexternim.6.胸大肌pectoralismajor...[继续阅读]

    图4-29切开皮肤及深浅筋膜,切断浅筋膜中的血管,显露胸大肌1.浅筋膜中的血管(胸肩峰动脉穿支的分支)bloodvesselsinthesuperficialfascia(br.ofperforatingbr.ofthoracoacromiala.)2.胸大肌pectoralismajor图4-30沿胸大肌表面向内侧解剖游离皮瓣,在近胸骨处显...[继续阅读]

    图4-32胸背部血管体表投影及皮瓣设计示意图1.旋肩胛动脉circumflexscapulara.2.胸背动脉thoracodorsala.3.横支transversebr.4.背阔肌latissimusdorsim.5.降支descendingbr.6.肩胛下动脉subscapulara.7.胸外侧皮动脉lateralthoraciccutaneousa.8.胸外侧动脉lateralthoraci...[继续阅读]