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上肢浅静脉作为微血管重建移植物供体来源的解剖学评估:一项尸体研究。

Anatomical evaluation of the superficial veins of the upper extremity as graft donor source in microvascular reconstructions: a cadaveric study.

作者信息

Kiray Amaç, Ergür Ipek, Tayefi Hamid, Bağriyanik H Alper, Bacakoğlu A Kadir

机构信息

Department of Anatomy, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2013;47(6):405-10. doi: 10.3944/aott.2013.3194.

Abstract

OBJECTIVE

The aim of study was to investigate the features and resources for vein grafts suitable for upper extremity arteries.

METHODS

Sixteen upper extremities of 8 cadavers were investigated. Anatomic localizations, diameters, wall thickness and valve types of the superficial veins of the upper extremity were counted and evaluated.

RESULTS

Average diameter of the brachial artery was 3.96 mm, the radial artery 2.54 mm, the ulnar artery 2.12 mm, the proper palmar digital artery 3 0.85 mm, the cephalic vein of the arm 1.81 mm, the basilic vein of the arm 3.20 mm, the cephalic vein of the forearm 2.04 mm, the basilic vein of the forearm 1.35 mm, and the dorsal venous network of the hand 1.27 mm. Three different types of valves were determined. The most frequent valve types were the Type 3 in the cephalic and basilica veins at 86.5% and 90.7%, respectively.

CONCLUSION

Data obtained on the superficial veins of the upper extremity may be helpful to surgeons in microsurgical reconstructions.

摘要

目的

本研究旨在探讨适合上肢动脉的静脉移植物的特征和来源。

方法

对8具尸体的16个上肢进行研究。对上肢浅静脉的解剖定位、直径、壁厚和瓣膜类型进行计数和评估。

结果

肱动脉平均直径为3.96mm,桡动脉为2.54mm,尺动脉为2.12mm,指掌侧固有动脉为0.85mm,臂头静脉为1.81mm,臂贵要静脉为3.20mm,前臂头静脉为2.04mm,前臂贵要静脉为1.35mm,手背静脉网为1.27mm。确定了三种不同类型的瓣膜。最常见的瓣膜类型是头静脉和贵要静脉中的3型,分别为86.5%和90.7%。

结论

关于上肢浅静脉获得的数据可能有助于外科医生进行显微外科重建。

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