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一具尸体上肢动脉、静脉和神经变异异常组合的报告。

Report of an unusual combination of arterial, venous and neural variations in a cadaveric upper limb.

作者信息

Troupis Theodore G, Michalinos Adamantios, Manou Vasiliki, Vlastos Dimitrios, Johnson Elizabeth O, Demesticha Theano, Skandalakis Panayiotis

机构信息

Department of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

J Brachial Plex Peripher Nerve Inj. 2014 Feb 5;9:2. doi: 10.1186/1749-7221-9-2. eCollection 2014.

Abstract

In this study an unusual combination of arterial, venous and neural variations discovered during dissection of cervical, axillary and brachial area of a cadaver is described. Variations are thoroughly described and literature is briefly reviewed. Lateral cord of brachial plexus was not formed; Eight Cervical root divided into anterior and posterior division before uniting with First Thoracic root and Upper Trunk was unusually short. Axillary artery gave origin to a superficial brachial artery and then continued as deep brachial artery. Multiple variations in typical axillary artery branches were present including existence of inferior pectoral artery. Cephalic vein was absent. A variety of interventions, from relative simple as central venous catheter placement to most complicated as brachial plexus injury repair demand thorough knowledge of area's regional anatomy. Familiarity with anatomic variations allows more precise and careful interventions. Research on these variations is valuable for anatomists and embryologists but also for clinicians because it may provide useful information for non - typical cases but also helps in raising a high level of suspicion.

摘要

本研究描述了在一具尸体的颈部、腋窝和臂部区域解剖过程中发现的动脉、静脉和神经变异的不寻常组合。对变异进行了详细描述,并简要回顾了相关文献。臂丛外侧束未形成;第八颈神经根在与第一胸神经根会合前分为前支和后支,上干异常短。腋动脉发出一条肱浅动脉,然后继续作为肱深动脉。典型的腋动脉分支存在多种变异,包括胸小肌动脉的存在。头静脉缺如。从相对简单的中心静脉导管置入到最复杂的臂丛损伤修复等各种干预措施都需要对该区域的局部解剖有透彻的了解。熟悉解剖变异有助于进行更精确、更谨慎的干预。对这些变异的研究不仅对解剖学家和胚胎学家有价值,对临床医生也有价值,因为它可能为非典型病例提供有用信息,还有助于提高高度的怀疑意识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f3c/4002576/738a9958c131/1749-7221-9-2-1.jpg

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