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肩胛下动脉的四分叉。解剖学及临床意义。

Tetrafurcation of the subscapular artery. Anatomical and clinical implications.

作者信息

Dimovelis I, Michalinos A, Spartalis Eleftherios, Athanasiadis G, Skandalakis P, Troupis T

机构信息

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

出版信息

Folia Morphol (Warsz). 2017;76(2):312-315. doi: 10.5603/FM.a2016.0057. Epub 2016 Oct 7.

DOI:10.5603/FM.a2016.0057
PMID:27714732
Abstract

Anatomic variations of axillary artery branches are commonly encountered during radiological investigation and surgical operations. Their existence can confuse interpretation of radiological results and lead to undesired complications during surgery. In this report authors describe a rare case of a subscapular arterial trunk that gave origin to thoracodorsal, circumflex scapular, posterior humeral circumflex, and lateral thoracic artery. Such a variation might cause undesired sequelae during trauma management and a variety of common flap harvesting operations including latissimus dorsi, scapular and parascapular flaps. Furthermore it presents embryological interest as it gives insight to embryologic development of axillary area.

摘要

在放射学检查和外科手术过程中,腋动脉分支的解剖变异较为常见。它们的存在会使放射学结果的解读变得复杂,并在手术过程中导致不良并发症。在本报告中,作者描述了一例罕见病例,即肩胛下动脉干发出胸背动脉、旋肩胛动脉、肱后旋动脉和胸外侧动脉。这种变异可能在创伤处理以及包括背阔肌、肩胛和肩胛旁皮瓣在内的各种常见皮瓣切取手术过程中引发不良后果。此外,它还具有胚胎学意义,因为它有助于深入了解腋窝区域的胚胎发育。

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