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手静脉的解剖及其临床应用

The Anatomy and Clinical Application of the VenousSystem of the Hand

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【作者】 王学礼张煜凌彤马俊华

【Author】 /Wang Xueli,et al.(Hebei MedicalCollege,Shijiazhuang 050017)

【机构】 河北医学院

【摘要】 解剖了82只成年人手标本的静脉,并在手术显微镜下观察了10只手静脉瓣的分布情况。发现手掌侧深静脉较伴行动脉细的多,其管径仅及其伴行动脉管径的1/3—1/4。指背静脉粗大,分布也恒定。断指再植没有适宜的动脉供吻接时可用指背静脉代替。手背静脉有静脉弓和静脉网两主型。手背静脉、掌背静脉和指背静脉均可见静脉瓣,主要分布于静脉汇合口的稍远侧,以利于静脉血回流。介绍二例手外伤患者,将拇指指背静脉同桡动脉吻合,使拇指再植获得成功。

【Abstract】 Abstract Dissection of the venous svstem of the han d was donein 82 adult hand specimens. In 10 hands,the distributionof the venous valves were also observed under surgical mi-croscope. The palmar deep veins of the hand were fou ndmuch smaller than their arterial comitantes,with diame-ters varying between 1/3-1/4 of their arterial comitantes.The dorsal veins of the fingers were very thick and con-stant in distribution.These are the vessels to be anasto-mosed during replantation of a severed finger when no ap-propriate artery is available. Two types of veins were rec-ognized over the dorsal of the hand,namely the dorsal ve-nous arch and the dorsal venous network.The venousvalves were seen in the dorsal veins of the hand,palm,and the fingers;All the venous valves were mainly dis-tributed over the distal part of the venous confluence tobene fit drainage of venous blood. Two cases of hand in-jury treated by anastomosis between the dorsal veins of thethumb and radial artery resulted a successful replanta-tion of the thumb.

【关键词】 手静脉解剖学拇指再造
  • 【文献出处】 中华骨科杂志 ,CHINESE JOURNAL OF ORTHOPAEDICS , 编辑部邮箱 ,1994年06期
  • 【分类号】R658.1
  • 【被引频次】7
  • 【下载频次】140
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