圖4-3胸大肌、三角肌間隙胸肩峰動(dòng)脈有多條皮支發(fā)至胸大肌表面皮膚、三角肌表面皮膚及肩部皮膚。1.三角肌deltoidm.2.胸肩峰動(dòng)脈肌間隙皮支spatiumintermuscularecutaneousbr.ofthoracoacromiala.3.胸肩峰動(dòng)脈皮支cutaneousbr.ofthoracoacromiala.4.胸肩峰動(dòng)...[繼續(xù)閱讀]

    圖4-15胸大肌皮瓣的切取示意圖1.頭靜脈cephalicv.2.胸肩峰動(dòng)脈肩峰支acromialbr.ofthoracoacromiala.3.三角肌deltoidm.4.胸肩峰動(dòng)脈肌間隙皮支spatiumintermuscularecutaneousbr.ofthoracoacromiala.5.胸三角皮瓣deltopectoralflap6.喙肱肌coracobrachialm.7.肱二頭肌短頭...[繼續(xù)閱讀]

    圖4-16胸外側(cè)部血管體表投影位置及組織瓣設(shè)計(jì)示意圖1.肩胛下動(dòng)脈subscapulara.2.旋肩胛動(dòng)脈circumflexscapulara.3.胸背動(dòng)脈thoracodorsala.4.背闊肌latissimusdorsim.5.以胸外側(cè)皮動(dòng)脈為蒂切取皮瓣skinflappedicledwithlateralthoraciccutaneousa.6.前鋸肌serratusa...[繼續(xù)閱讀]

    圖4-17切開皮膚1.皮神經(jīng)cutaneousn.2.胸大肌pectoralismajor3.胸外側(cè)皮動(dòng)脈lateralthoraciccutaneousa.圖4-18皮瓣向后翻,顯露胸外側(cè)皮動(dòng)脈1.皮神經(jīng)cutaneousn.2.胸外側(cè)皮動(dòng)脈lateralthoraciccutaneousa.3.胸大肌pectoralismajor4.前鋸肌serratusanteriorm.該標(biāo)本胸外側(cè)皮...[繼續(xù)閱讀]

    圖4-25掀起背闊肌外緣,充分顯露胸外側(cè)血管神經(jīng)1.旋肩胛動(dòng)脈circumflexscapulara.2.胸背神經(jīng)thoracodorsaln.3.肩胛下肌subscapularism.4.胸背動(dòng)脈thoracodorsala.5.胸背動(dòng)脈背闊肌支latissimusdorsibr.ofthoracodorsala.6.胸背動(dòng)脈前鋸肌支serratusanteriorbr.ofthoraco...[繼續(xù)閱讀]

    圖4-26胸外側(cè)部皮瓣切取示意圖1.胸外側(cè)皮動(dòng)脈lateralthoraciccutaneousa.2.以胸外側(cè)皮動(dòng)脈為蒂的皮瓣skinflappedicledwithlateralthoraciccutaneousa.3.胸大肌pectoralismajor4.前鋸肌serratusanteriorm....[繼續(xù)閱讀]

    圖4-27胸前部血管體表投影及組織瓣設(shè)計(jì)示意圖1.胸鎖乳突肌sternocleidomastoidm.2.胸廓內(nèi)動(dòng)脈internalthoracica.3.胸廓內(nèi)動(dòng)脈穿支perforatingbr.ofinternalthoracica.4.以胸廓內(nèi)動(dòng)脈為蒂設(shè)計(jì)皮瓣designofskinflappedicledwithinternalthoracica.5.肋弓costalarch6.鎖骨...[繼續(xù)閱讀]

    圖4-28胸前部縱行斷層解剖1.肋間前靜脈anteriorintercostalv.2.肋間前動(dòng)脈anteriorintercostala.3.肋間神經(jīng)intercostaln.4.肋下緣inferiorborderofcostalbone5.肋間內(nèi)外肌intercostalesinterniandexternim.6.胸大肌pectoralismajor...[繼續(xù)閱讀]

    圖4-29切開皮膚及深淺筋膜,切斷淺筋膜中的血管,顯露胸大肌1.淺筋膜中的血管(胸肩峰動(dòng)脈穿支的分支)bloodvesselsinthesuperficialfascia(br.ofperforatingbr.ofthoracoacromiala.)2.胸大肌pectoralismajor圖4-30沿胸大肌表面向內(nèi)側(cè)解剖游離皮瓣,在近胸骨處顯...[繼續(xù)閱讀]

    圖4-32胸背部血管體表投影及皮瓣設(shè)計(jì)示意圖1.旋肩胛動(dòng)脈circumflexscapulara.2.胸背動(dòng)脈thoracodorsala.3.橫支transversebr.4.背闊肌latissimusdorsim.5.降支descendingbr.6.肩胛下動(dòng)脈subscapulara.7.胸外側(cè)皮動(dòng)脈lateralthoraciccutaneousa.8.胸外側(cè)動(dòng)脈lateralthoraci...[繼續(xù)閱讀]