Loukas M, Diala El-Z, Tubbs R S, Zhan L, Rhizek P, Monsekis A, Akiyama M
Department of Anatomical Sciences, School of Medicine, St. George's University, Grenada, West Indies.
Folia Morphol (Warsz). 2008 Aug;67(3):159-65.
The diaphragm is the major respiratory muscle of the body. As it plays such a vital role, a continuous arterial and venous blood supply is of the utmost importance. It is therefore not surprising to find described in the literature a complex system of anastomoses that contributes to the maintenance of this muscle's life-preserving contraction. Understanding the anatomy of the diaphragm and any divergence in its vasculature is literally vital to humanity. In the light of this, we review the literature on the blood supply to the diaphragm, with specific emphasis on the recent description of the inferior phrenic vessels and the superior phrenic artery, summarize the clinical significance of the diaphragmatic vasculature and suggest future avenues of study to further expand on this current body of knowledge.
膈肌是人体主要的呼吸肌。由于其发挥着如此至关重要的作用,持续的动脉和静脉血液供应至关重要。因此,在文献中发现一个有助于维持该肌肉维持生命收缩的复杂吻合系统也就不足为奇了。了解膈肌的解剖结构及其血管系统的任何差异对人类来说确实至关重要。有鉴于此,我们回顾了关于膈肌血液供应的文献,特别强调了膈下血管和膈上动脉的最新描述,总结了膈肌血管系统的临床意义,并提出了未来的研究途径,以进一步拓展这一现有知识体系。