中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
18期
2906-2910
,共5页
马春晓%刘媛媛%任珊珊%王芳%卢小生
馬春曉%劉媛媛%任珊珊%王芳%盧小生
마춘효%류원원%임산산%왕방%로소생
实验动物%组织构建实验模型%内眦动脉%尸体模型%鼻唇沟皮瓣%血管灌注%定位%体表投影
實驗動物%組織構建實驗模型%內眥動脈%尸體模型%鼻脣溝皮瓣%血管灌註%定位%體錶投影
실험동물%조직구건실험모형%내자동맥%시체모형%비진구피판%혈관관주%정위%체표투영
Autopsy%Manikins%Surgical Flaps
背景：鼻唇沟皮瓣在临床手术中应用较广，面动脉的解剖学研究已广泛应用于临床，内眦动脉解剖对鼻唇沟区手术日益重要，但目前缺乏对内眦动脉的解剖分析。<br> 目的：对内眦动脉进行解剖，为鼻唇沟皮瓣的手术提供解剖学依据。<br> 方法：解剖20侧成人头面部尸体标本，以内眦连线为X轴，面中线为Y轴，建立坐标轴，定点A-F点测量内眦动脉的位置。<br> 结果与结论：①内眦动脉在BC、CD、DE、EF段的倾斜角度分别为(11.1±4.3)°，(34.1±8.8)°，(21.5±10.5)°，(17.0±4.7)°。②内眦动脉来源于面动脉多于眼动脉，并且右侧血管直径要大于左侧。③来源于眼动脉的内眦动脉起始于由内眦连线与面中线交点正上方10 mm处向两侧延伸8.1 mm位置，起始点管径为(0.7±0.2) mm，全程共20.1 mm。④来源于面动脉的内眦动脉起始于内眦连线与面中线交点正下方40 mm处向两侧延伸25.8 mm位置，起始点管径为(0.9±0.3) mm，走行至鼻翼最外侧点的距离为(5.0±1.2) mm，全程共68.7 mm。由解剖结果得出内眦动脉的体表投影，可为鼻唇沟皮瓣的相关手术提供解剖学基础。
揹景：鼻脣溝皮瓣在臨床手術中應用較廣，麵動脈的解剖學研究已廣汎應用于臨床，內眥動脈解剖對鼻脣溝區手術日益重要，但目前缺乏對內眥動脈的解剖分析。<br> 目的：對內眥動脈進行解剖，為鼻脣溝皮瓣的手術提供解剖學依據。<br> 方法：解剖20側成人頭麵部尸體標本，以內眥連線為X軸，麵中線為Y軸，建立坐標軸，定點A-F點測量內眥動脈的位置。<br> 結果與結論：①內眥動脈在BC、CD、DE、EF段的傾斜角度分彆為(11.1±4.3)°，(34.1±8.8)°，(21.5±10.5)°，(17.0±4.7)°。②內眥動脈來源于麵動脈多于眼動脈，併且右側血管直徑要大于左側。③來源于眼動脈的內眥動脈起始于由內眥連線與麵中線交點正上方10 mm處嚮兩側延伸8.1 mm位置，起始點管徑為(0.7±0.2) mm，全程共20.1 mm。④來源于麵動脈的內眥動脈起始于內眥連線與麵中線交點正下方40 mm處嚮兩側延伸25.8 mm位置，起始點管徑為(0.9±0.3) mm，走行至鼻翼最外側點的距離為(5.0±1.2) mm，全程共68.7 mm。由解剖結果得齣內眥動脈的體錶投影，可為鼻脣溝皮瓣的相關手術提供解剖學基礎。
배경：비진구피판재림상수술중응용교엄，면동맥적해부학연구이엄범응용우림상，내자동맥해부대비진구구수술일익중요，단목전결핍대내자동맥적해부분석。<br> 목적：대내자동맥진행해부，위비진구피판적수술제공해부학의거。<br> 방법：해부20측성인두면부시체표본，이내자련선위X축，면중선위Y축，건립좌표축，정점A-F점측량내자동맥적위치。<br> 결과여결론：①내자동맥재BC、CD、DE、EF단적경사각도분별위(11.1±4.3)°，(34.1±8.8)°，(21.5±10.5)°，(17.0±4.7)°。②내자동맥래원우면동맥다우안동맥，병차우측혈관직경요대우좌측。③래원우안동맥적내자동맥기시우유내자련선여면중선교점정상방10 mm처향량측연신8.1 mm위치，기시점관경위(0.7±0.2) mm，전정공20.1 mm。④래원우면동맥적내자동맥기시우내자련선여면중선교점정하방40 mm처향량측연신25.8 mm위치，기시점관경위(0.9±0.3) mm，주행지비익최외측점적거리위(5.0±1.2) mm，전정공68.7 mm。유해부결과득출내자동맥적체표투영，가위비진구피판적상관수술제공해부학기출。
BACKGROUND:Nasolabial fold flap has been widely used in clinical surgery. The facial artery anatomy has been widely used in clinical research. Angular artery dissection is becoming more and more important to nasolabial groove area surgery, but at present, there is a lack of anatomical analysis of internal angular artery. <br> OBJECTIVE:To study the anatomy of the angular artery, and to provide anatomical data for protecting the nasolabial flap during surgery. <br> METHODS:Twenty sides of adult cadaver specimens on head and face were dissected. A reference coordinate system was made based on the line between the connection of two medial angles of eyes (axis X) and the facial midline line (axis Y). The location of the angular artery was measured taking A-F as reference points. <br> RESULTS AND CONCLUSION:(1) The slant angles of the angular artery on BC section, CD section, DE section and EF section were (11.1±4.3)°, (34.1±8.8)°, (21.5±10.5)°, and (17.0±4.7)°, respectively. (2) The angular artery sourced from facial artery was more than it sourced from ophthalmic artery. The diameter of right blood vessel was larger than that of left side. (3) The angular artery sourced from ophthalmic artery comes from the location which extended 8.1 mm to both sides from the point which was 10 mm up from the intersection of facial medial angle of eyes connection and midline. The blood vessel diameter of the starting point was (0.7±0.2) mm. The whole range was 20.1 mm. (4) The angular artery sourced from facial artery comes from the location which extended 25.8 mm to both sides from the point which was 40 mm down to the intersection of facial medial angle of eyes connection and midline. The blood vessel diameter of the starting point was (0.9±0.3) mm. Point to the wing of nose the lateral distance was (5.0±1.2) mm. The whole range was 68.7 mm. The surface projecting of angular artery coming from research results provided anatomic basis for surgery of nasolabial flap.
