在上限周围的动脉:在岛内和岛内外科手术中避免运动并发症
Naoki Ikegaya1, Takahiro Hayashi1, Takefumi Higashijima2
1Department of Neurosurgery, Yokohama City University Graduate school of medicine, Yokohama , Japan.
Operative neurosurgery (Hagerstown, Md.)
|November 15, 2023
概括
了解上限 (SLS) 周围的动脉是预防胰腺外科手术中缺血并发症的关键. 大多数关键动脉都位于SLS附近,使其成为一个有价值的外科手术地标.
科学领域:
- 神经外科 神经外科
- 血管解剖学 血管解剖学
- 大脑血液供应的大脑血液供应
背景情况:
- 胰膜外科手术带有缺血运动并发症的风险.
- 在上限 (SLS) 周围的动脉都参与其中,但它们的详细解剖结构尚不清楚.
- 描述这些动脉可以帮助减轻手术风险.
研究的目的:
- 为了分类和绘制SLS附近的动脉,包括长岛动脉 (LIA) 和长髓动脉.
- 确定这些动脉相对于SLS的分布.
- 为减少相关手术中缺血性并发症提供解剖学数据.
主要方法:
- 分析了20个成年尸体半球.
- 冠状脑切片是垂直于SLS准备的.
- 在SLS的10毫米范围内供应冠状辐射的动脉被确定并按入口点进行分类.
主要成果:
- 确定了122条动脉,52%是LIA,16%在SLS峰值,32%是长髓动脉.
- 87%的动脉在SLS峰值5毫米以内穿透.
- 动脉分布在岛屿环环之间有所不同,其中5.7%显示出动脉.
结论:
- 近90%的关键动脉位于SLS的5毫米半径内.
- 该SLS作为一个可靠的地标用于insulo-opercular手术.
- 使用SLS可以显著降低手术内缺血的风险.
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