上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（基础研究） • 上一篇    下一篇

中国人脑Heubner氏回返动脉解剖研究

王 韧，徐 涛，袁 方，郭 衍，顾 奕，陈 炯，田恒力，王 敢   

  1. 上海交通大学附属第六人民医院神经外科， 上海 200233
  • 出版日期:2014-06-28 发布日期:2014-06-30
  • 通讯作者: 王 敢, 电子信箱: sjtu_edu_cn@126.com。
  • 作者简介:王 韧（1971—）， 副主任医师， 硕士; 电子信箱: wangren11@hotmail.com。

Anatomical study of recurrent artery of Heubner of Chinese people

WANG Ren, XU Tao, YUAN Fang, GUO Yan, GU Yi, CHEN Jiong, TIAN Heng-li, WANG Gan   

  1. Department of Neurosurgery, the Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2014-06-28 Published:2014-06-30

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摘要：

目的 探讨中国人脑Heubner氏回返动脉（RAH）解剖特点。方法 取45例（90侧）经10%甲醛溶液固定的人脑标本，在手术显微镜下观察并测量RAH数量、行程、外径、分支及血供范围。结果 在45例人脑标本中发现128支RAH，每侧大脑半球1～3支，平均（1.42±0.62）支。RAH在大脑前交通动脉（ACoA）水平近侧段8 mm至远侧段3 mm发出，平均距离在前交通远侧端（0.46±1.29）mm，其外径为0.05～1.20 mm，平均（0.64±0.24）mm；长度为12～56 mm，平均（30.41±10.24）mm。该血管既供应脑深部，同时供应脑皮质。结论 RAH有一定解剖变异，明确RAH的解剖特点、与大脑前A1段、眶额动脉及额极动脉的关系对临床有指导作用。

关键词: 解剖学, 大脑前动脉, Heubner氏回返动脉

Abstract:

Objective To explore the anatomical features of recurrent artery of Heubner (RAH) of Chinese people. Methods The number, routes, outer diameter, branches, and perfused areas of RAHs of 90 cerebral hemispheres from 45 brain samples fixed by formalin of 10% were observed and measured by the operation microscope. Results A total of 128 RAHs were found in 45 brain samples. There were 1-3 RAHs in each cerebral hemisphere. The average number was (1.42±0.62) mm. The RAH started from 8 mm of the horizontal proximal segment to 3 mm of the distal segment of anterior communicating artery (ACoA). The average distance was (0.46±1.29) mm from the distal end of ACoA. The outer diameter was 0.05-1.20 mm and the average outer diameter was (0.64±0.24) mm. The length was 12-56 mm and the average length was (30.41±10.24) mm. The RAH supplied the cortex as well as the cerebral parenchyma. Conclusion RAH has anatomical variations. It is clinically helpful to identify anatomical features of RAH and its relationships with A1 segment of ACoA, orbitofrontal artery, and frontalpolar artery.

Key words: anatomy, anterior cerebral artery, recurrent artery of Heubner