CAJ | 학술논문

目的熟悉大脑中动脉和岛叶的解剖,探讨岛叶胶质瘤手术与大脑中动脉的关系.方法对10例(20侧)成人尸头标本进行大脑中动脉和岛叶的解剖与测量.结果大脑中动脉的M2段,像一面动脉血管墙,躺在岛叶上.它发出的终末小穿支动脉是岛叶惟一的供血动脉,而它发出的长穿支动脉,则多在后岛叶上,向岛叶的后角方向走行,进人放射冠.最外侧豆纹动脉是岛叶的一个重要标记,距岛顶15.68 mm出现,在岛阈内侧进入前穿质,长约15.42 mm.结论熟悉大脑中动脉的走行分布,有利于岛叶胶质瘤的切除,可减少重要动脉损伤引起的术后并发症.
목적 숙실대뇌중동맥화도협적해부,탐토도협효질류수술여대뇌중동맥적관계.방법 대10례(20측)성인시두표본진행대뇌중동맥화도협적해부여측량.결과 대뇌중동맥적M2단,상일면동맥혈관장,당재도협상.타발출적종말소천지동맥시도협유일적공혈동맥,이타발출적장천지동맥,칙다재후도협상,향도협적후각방향주행,진인방사관.최외측두문동맥시도협적일개중요표기,거도정15.68 mm출현,재도역내측진입전천질,장약15.42 mm.결론 숙실대뇌중동맥적주행분포,유리우도협효질류적절제,가감소중요동맥손상인기적술후병발증.
Objective To have a intimate knowledge of the anatomy of middle cerebral artery(MCA)and insula,to explore the relationship between insular glioma and MCA surgery.Method Dissection and relative measurement were performed in the insular region of 10 adult cadaveric heads(20 hemispheres).Results The MCA's M2 looked like a"blood vessel wall",overlaying on the insula.The timinal short performing arteries arose from the M2 segments supplied only the insula,however,the long perforating arteries on the posterior part of the insula,coursed towards the post angle of the insula,and entered the corona radiate.The most lateral lenticulostriate artery(LSAs),an important landmark in insular surgery,arose 15.68 mm from the apex of the insala and penetrated the anterior perforated substance 15.42 mm medial to the limen insulae.Conclusions To have a intimate knowledge of the anatomy of the MCA,make for the resection of the insular glioma,and reduce the complication caused by the injury of arteries.