掌浅弓的应用解剖研究.docVIP

掌浅弓的应用解剖研究 【关键词】 ,掌浅弓；应用解剖 【摘要】 目的 研究掌浅弓的形态学特征，为手掌血管损伤的修复或重建提供解剖学基【关键词】 ,掌浅弓；应用解剖【摘要】 目的 研究掌浅弓的形态学特征，为手掌血管损伤的修复或重建提供解剖学基础。方法 对20具成人尸体的40例手进行层次解剖，充分暴露掌浅弓，观察其类型、形状、对称性和分支。结果 类型：桡尺动脉型19例（475%），尺动脉型15例（375%），正中尺动脉型3例（75%），桡正中尺动脉型2例（50%），尺动脉掌深弓分支型1例(25%）。形状：单弓形20例（占 500%）， 弧线形14例（占350%）， 鞍形4例（占100%），双弓形仅2例（占 50%）。对称性：掌浅弓左右侧不称者16 例，占 400%；对称者24例 ，占 600 % 。分支：掌浅弓的分支有3～6条，34例（850%）发出小指尺掌侧动脉，22例（550%）发出3条指掌侧总动脉，13例（325%）发出4条指掌侧总动脉。结论 掌浅弓以桡尺动脉型为主，左右侧多对称，多呈单弓形状，分支3～6条。【关键词】 掌浅弓；应用解剖 【Abstract】 Objective To provide anatomical basis for repairing the superficial palmar arch with transplanted superficial vein when the operations of vessel repair and reconstruction of severed palm are performed. Methods The type,shape,symmetry and branches of the superficial palmar arch were observed on 40 cases of hand specimens.Results There were five types of the superficial palmar arch.There were radioulnar arterial type, ulnar arterial type, median ulnar arterial type, radimediulnar arterial types,branchs of deep palmar and ulnar type ，and majority were radioulnar arterial types and ulnar arterial types.There were four shapes of superficial palmar arch,including arc,arch,saddle form and bi-arch .There were 3~6 branches of the superficial palmar arch ,34 cases gave off ulnar digital palmar proper artery,22 cases shared gave off three digital palmar communes,13 cases gave off four digital palmar communes.Conclusion The majority type of superficial palmar arch was ulnar arterial types,symmetries were most,the most shapes were arc and arch ,there were 3~6 branches of the superficial palmar arch. 毕业论文网 【Key words】 superficial palmar arch, applied anatomy 随着社会的发展，各种手外伤越来越多，正确处理掌浅弓在临床上修复手外伤时意义重大。因掌浅弓变异较大，我们对掌浅弓的组成类型、形状、分支及对称性进行观察，以期为临床手部血管修复或吻合提供解剖学基础。 1 材料与方法 　经福尔马林液固定的成人尸体20具40例手，行层次解剖，充分暴露掌浅弓，观察其组成类型、形状、分支和对称性。 2 结果 2.1 组成类型 本组资料共有5种类型：桡尺动脉型多见，共19例，占 475% ；尺动脉型次之，共15例，占375% ；正中尺动脉型3例，占75%；桡正中尺动脉型2例，占50%；尺动脉掌深弓分支型1例，占 25% 。尺动脉掌深弓分支型比较罕见，仅1例，其掌深弓分支穿第1、2 掌骨间浅出，与尺动脉终支吻合。 2.2 形状 本组资料可分为4种形状：单弓