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上肢的动脉血液供应变异

The artery blood supply variant of the upper limb.

作者信息

Maslarski Ivan

机构信息

Department of Anatomy, Histology and Pathology, Medical Faculty at the University of Sofia, Bulgaria.

出版信息

Clujul Med. 2015;88(4):545-9. doi: 10.15386/cjmed-549. Epub 2015 Nov 15.

Abstract

Variations of arterial patterns in the upper limb have represented the most common subject of vascular anatomy. Different types of artery branching pattern of the upper limb are very important for orthopedists in angiographic and microvascular surgical practice. The brachial artery (BA) is the most important vessel in the normal vascular anatomy of the upper limb. The classical pattern of the palmar hand region distribution shows the superficial palmar arch. Normally this arch is formed by the superficial branch of the ulnar artery and completed on the lateral side by one of these arteries: the superficial palmar branch of the radial artery, the princeps pollicis artery, the superficial palmar branch of the radial artery or the median artery. After the routine dissection of the right upper limb of an adult male cadaver, we found a very rare variant of the superficial arch artery - a division in a higher level brachial artery. We found this division at 10.4 cm from the beginning of the brachial artery. This superficial brachial artery became a radial artery and was not involved in the formation of the palm arch. In the forearm region, the artery variant was present with the median artery and the ulnar artery, which form the superficial palm arch.

摘要

上肢动脉模式的变异一直是血管解剖学中最常见的研究主题。上肢不同类型的动脉分支模式对于骨科医生在血管造影和微血管外科手术实践中非常重要。肱动脉(BA)是上肢正常血管解剖结构中最重要的血管。手掌区域分布的经典模式显示为掌浅弓。通常,这个弓由尺动脉的浅支形成,并在外侧由以下动脉之一完成:桡动脉的掌浅支、拇主要动脉、桡动脉的掌浅支或正中动脉。在对一名成年男性尸体的右上肢进行常规解剖后,我们发现了一种非常罕见的掌浅弓动脉变异——在更高水平的肱动脉处分支。我们在距肱动脉起始处10.4厘米处发现了这种分支。这条肱浅动脉变成了桡动脉,没有参与掌弓的形成。在前臂区域,动脉变异表现为正中动脉和尺动脉,它们形成了掌浅弓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f013/4689249/a6096b4a5917/cm-88-545f1.jpg

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