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手部动脉的放射解剖学研究。吻合(放射学发生率)。指部血管分布(关于25个解剖放射学标本)

[Radio-anatomical study of the arteries of the hand. Anastomoses (radiological incidences). Digital vascularization (apropos of 25 anatomo-radiological preparations)].

作者信息

Braun J B, Werner J E, Borrelly J

出版信息

Bull Assoc Anat (Nancy). 1977 Sep;61(174):317-29.

PMID:614070
Abstract

METHOD

An original procedure is used for the specimens. The hands of fresh corpses preserved in a cialit solution are prepared by an injection of resin mixed with a leadsalt into the arteries. The accurate dissection of the hand's arteries is compared to the X rays.

RESULTS

  1. Palmar arci are rare. We found an arcus palmaris superficialis in 10% and an arcus palmaris profundus in about 50% of the specimens. To avoid a misinterpretation of X rays, three incidences were used (one full-face and two oblique incidence: a transversal one at 15 degrees and a vertical or longitudinal one at 30 degrees). 2) All fingers receive arteries of double origin in 80% of the cases. Only in 20% of all cases, the thumb or the little finger have an exclusive vascularisation (radial for the thumb and ulnar for the little finger). 3) All digital anastomoses are dissected--Retrotendineous anastomoses are patent and large.
摘要

方法

对标本采用一种原始方法。将保存在西力生溶液中的新鲜尸体的手,通过向动脉注射混合有铅盐的树脂来制备。将手部动脉的精确解剖结构与X射线进行对比。

结果

1)掌弓少见。我们在10%的标本中发现了浅掌弓,在约50%的标本中发现了深掌弓。为避免对X射线的误判,采用了三种投照角度(一个正位和两个斜位:一个15度的横向投照和一个30度的垂直或纵向投照)。2)80%的情况下,所有手指接受双源动脉供血。仅在所有病例的20%中,拇指或小指有单一的血管供应(拇指为桡侧,小指为尺侧)。3)所有指部吻合均被解剖——腱后吻合通畅且较大。

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