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胸腰段后髓动脉的起源及其临床意义

Origin of Posterior Medullary Arteries on Thoracic and Lumbar Parts

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【作者】 王琨李崇谦李云生陈仲欣贺能树

【Author】 Wang Kun , Li Congqian , Li Yunsheng , He Nengshu(Department of Anatomy,Tianjin Medical University,Tianjin 300070)(Department of Radiology,First Affiliated Hospital,Tianjin Medical University)

【机构】 天津医科大学解剖学教研室天津医科大学第一附属医院放射科 300070300070

【摘要】 目的:为选择性脊髓血管造影和椎管内显微外科提供解剖学资料。方法:采用尸体标本30例,于节段性动脉内逐一注入红色乳胶,在完整脊髓上解剖观察。结果:每例脊髓胸腰段的后髓动脉数目5~13支,平均8.4支。后髓动脉起始情况分3型10亚型,其中后髓动脉与前髓动脉由同一肋间后动脉发出仅34支(13.5%)。胸下部及腰部后髓动脉呈典型“发卡”样折曲。后髓动脉平均外径0.37±0.12mm。约1/3标本在T11~L3间有1支后髓动脉较粗(>0.5mm),它是脊髓后下部血供的主要来源。结论:多数后髓动脉单独起始,较大的后髓动脉应引起注意。

【Abstract】 Objective :To provide anatomical data for selective angiography of spinal cord and microsurgery in vertebrae canal. Methods : The materials were from 30 human cardavers with arterial injections of red natural latex.Anatomical observation was made on intact spinal cord. Results: Individually the number of posterior medullary arteries ranged from 5 to 13, averaging 8.4. The origin of posterior medullary arteries may be divided into 3 types 10 subtypes. Only 34(13.5%) posterior medullary arteries with anterior medullary arteries branch from the same intercostal arteries . In lower thoracic and lumbar regions posterior medullary arteries present typical "hair - pin" curve.The outside diameters of posterior medullary arteries average 0.369 ± 0. 122mm(0. 18 - 0.96mm) . In about one third (11/30) of the carses the posterior medullary arteries at T11 to L3 appeared larger than others ( > 0.5mm) .It was the main supply sources of the posterior lower spinal cord. Conclusions : The posterior medullary arteries arise mostly alone. We should give attention to the great posterior medullary artery .

  • 【文献出处】 解剖与临床 ,Anatomy and Clinics , 编辑部邮箱 ,1998年01期
  • 【分类号】R322
  • 【下载频次】42
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