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颈内动脉海绵窦支:解剖与命名

Cavernous branches of the internal carotid artery: anatomy and nomenclature.

作者信息

Tran-Dinh H

出版信息

Neurosurgery. 1987 Feb;20(2):205-10. doi: 10.1227/00006123-198702000-00001.

DOI:10.1227/00006123-198702000-00001
PMID:3561725
Abstract

In most standard anatomical textbooks, the cavernous branches of the internal carotid artery (ICA) are rarely or shortly described. Among three reports dealing with these branches, there is a lack of agreement in description and nomenclature. This study presents a systematic nomenclature based on the result of anatomical dissection in the cavernous sinus (CS) of 32 human subjects. The ophthalmic artery was found arising inside the CS in 5 subjects (15.6%). The posterior trunk (meningohypophyseal trunk of Parkinson) was present in all subjects (100%), but its distribution varied considerably. In 9 subjects, one or two of its primary divisions originated directly from the ICA. The lateral trunk was found in 21 subjects (65.8%), and the capsular arteries of McConnell of the median group were found in 9 (28.1%). Other branches to the surrounding structures (trigeminal ganglion and divisions, superior wall of the CS, the 3rd, 4th, and 6th cranial nerves, and osseous branches) were inconstant. Anastomotic branches to the ophthalmic, middle meningeal, and ascending pharyngeal arteries were also noted. A systematic nomenclature is proposed, in which the branches of the ICA are named according to their topographical origins from the artery and their primary or secondary divisions are named according to their destinations.

摘要

在大多数标准解剖学教科书中,颈内动脉(ICA)的海绵窦分支很少被描述或描述得很简略。在三篇涉及这些分支的报告中,描述和命名缺乏一致性。本研究基于对32例人体海绵窦(CS)进行解剖的结果,提出了一种系统的命名法。在5例受试者(15.6%)中发现眼动脉发自海绵窦内。后干(帕金森脑膜垂体干)在所有受试者中均存在(100%),但其分布差异很大。在9例受试者中,其一个或两个主要分支直接起源于颈内动脉。在21例受试者(65.8%)中发现外侧干,在9例(28.1%)中发现中位组的麦康奈尔囊动脉。其他至周围结构(三叉神经节及其分支、海绵窦上壁、第3、4和6对脑神经以及骨分支)的分支不恒定。还注意到与眼动脉、脑膜中动脉和咽升动脉的吻合支。本文提出了一种系统的命名法,其中颈内动脉的分支根据其在动脉上的解剖学起源命名,其一级或二级分支根据其走行命名。

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