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[颞浅动脉的走行。作为动脉活检前提条件的解剖学研究]

[The course of the superficial temporal artery. Anatomic studies as a prerequisite to arterial biopsy].

作者信息

Daumann C, Putz R, Schmidt D

机构信息

Anatomisches Institut, Universität Freiburg.

出版信息

Klin Monbl Augenheilkd. 1989 Jan;194(1):37-41. doi: 10.1055/s-2008-1046333.

Abstract

The superficial temporal artery, together with its branches, was dissected in 161 half-heads, and the course of these vessels mapped against a newly-developed grid which can be adapted to conform to the proportions of each individual skull. The practical aim of this investigation was to establish the position of that incision which has the highest probability of being well-placed for taking a biopsy from the frontal branch of the artery. In 86.3% of the authors' specimens it was possible to reach this vessel through a 2.5 cm incision running up-ward and posteriorward at an angle of 45 degrees to the "upper horizontal line" from a point 1-1.5 cm behind the intersection of this line with the "lateral border of the orbit". The commonest type of ramification, with two terminal branches, was found in 94.6% of the specimens. Type 2 (with three terminal branches) occurred in 2.5% and Type 3 (with a single terminal branch) also in 2.5% of the cases. The level of the bifurcation of the superficial temporal artery varied between a point 2 cm below the "German horizontal line" and a second point 2 cm above the "upper horizontal line". The main trunk of the vessel was found to make an angle of 82.2 degrees with the "German horizontal line", its frontal branch running upward and anteriorward at an angle of 40 degrees to this line.

摘要

在161个半侧头部标本中解剖了颞浅动脉及其分支,并根据一种新开发的网格绘制这些血管的走行,该网格可根据每个个体颅骨的比例进行调整。这项研究的实际目的是确定最有可能为从动脉额支获取活检标本而正确定位的切口位置。在作者的标本中,86.3%的情况可以通过一个2.5厘米的切口到达该血管,该切口从“上水平线”与“眶外侧缘”交点后方1 - 1.5厘米处开始,以45度角向上和向后延伸。94.6%的标本中发现最常见的分支类型为有两个终末分支。2型(有三个终末分支)出现在2.5%的病例中,3型(有一个终末分支)也出现在2.5%的病例中。颞浅动脉分叉的位置在“德国水平线”下方2厘米处到“上水平线”上方2厘米处之间变化。发现该血管主干与“德国水平线”成82.2度角,其额支与该线成40度角向上和向前走行。

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