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关动脉和静脉在自由关移动中的定位:手术考虑和临床影响
Akatsuki Kondo1, Takuya Higashino2, Kazuki Shimada2
1Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan; Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.
关动脉通常在静脉的口腔和腹部侧面,在自由的关上发现. 了解这种血管解剖学对于安全有效的重建性手术至关重要.
科学领域:
- 血管外科 血管外科
- 手术解剖学手术解剖学
- 重建性微手术是重建性的微手术.
背景情况:
- 计算机断层扫描研究表明,上层中枢动脉是其静脉的腹部.
- 周围状动脉静脉系统的确切位置在很大程度上仍然没有被描述.
- 这项研究旨在澄清自由关板内的动脉静脉定位.
研究的目的:
- 为了研究关动脉和静脉在自由关的动脉静脉定位.
- 为了对状动脉静脉系统的解剖模式进行分类.
- 为了告知外科手术技术,以免费的膜重建.
主要方法:
- 78名接受自由关重建的患者的回顾性队列研究.
- 关动脉和静脉位置的分类,根据手术期间拍摄的照片将其分为6种模式 (A-F).
- 动脉位置 (腹部/背部) 与静脉相对应的统计分析和口腔-门轴方向.
主要成果:
- 关动脉最频繁地位于静脉的腹腔和口腔 (A型,48.6%).
- 动脉主要是口腔 (62.1%) 和腹腔 (71.6%) 到静脉.
- 上部甲状腺动脉 (44.6%) 和横动脉 (50.0%) 是常见的接受动脉;内静脉 (85.1%) 是最常见的接受静脉.
结论:
- 关节动脉静脉系统的定位对于优化动脉动脉技术至关重要.
- 了解血管解剖模式有助于防止血管错位.
- 准确的理解有助于在重建性手术中更可靠,更安全的解剖.
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