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[下丘脑 - 垂体复合体血管蒂移植的解剖学基础]

[Anatomical basis for vascular-pedicle transplantation of the hypothalamo-hypophyseal complex].

作者信息

Kirpatovskiĭ I D, Zhanybekov D E

出版信息

Arkh Anat Gistol Embriol. 1987 Sep;93(9):43-52.

PMID:3426409
Abstract

In 240 corpses of mature persons by means of complex morphological methods extraorganic arteries of the hypophysis, anterior hypothalamus have been investigated, as well as topography of the arterial peduncle of the hypothalamo-hypophyseal complex. Blood supply of the hypophysis and of the anterior hypothalamic part is performed from one common vascular pool--the arterial ring of the brain via multiple arterial branches, their amount and diameter varying considerably. Taking into account an important role of anastomotic vessels and numerous arterial plexuses, when the hypothalamo-hypophyseal complex is extirpated for investigation, it is necessary to include into its composition, besides the major arterial peduncle, the optic chiasm, the grey tuber and the system of cavernous sinuses. Owing to this, there is no need to separate the arterial peduncle of the transplant at the moment of obtaining the hypothalamo-hypophyseal complex. The topographic anatomical investigations performed make prerequisites for transplantation of the hypothalamo-hypophyseal complex on the vascular peduncle in clinic.

摘要

利用复杂的形态学方法,对240具成年人尸体的垂体、下丘脑前部的器官外动脉以及下丘脑 - 垂体复合体动脉蒂的局部解剖进行了研究。垂体和下丘脑前部的血液供应来自一个共同的血管池——脑动脉环,通过多条动脉分支供应,其数量和直径差异很大。考虑到吻合血管和众多动脉丛的重要作用,当切除下丘脑 - 垂体复合体进行研究时,除主要动脉蒂外,其组成还必须包括视交叉、灰结节和海绵窦系统。因此,在获取下丘脑 - 垂体复合体时,无需分离移植体的动脉蒂。所进行的局部解剖学研究为临床上下丘脑 - 垂体复合体带血管蒂移植创造了前提条件。

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