桡侧回旋动脉的形态和地形特征及其可能的临床意义

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL European Journal of Therapeutics Pub Date : 2023-12-06 DOI:10.58600/eurjther1908
Latif Sağlam, Ö. Gayretli, O. Coşkun, İ. Gürses, B. Çandir, Aysi˙n Kale, Adnan Öztürk
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引用次数: 0

摘要

目的:桡骨复发动脉(RRA)的解剖对介入手术具有重要意义。本研究的目的是研究RRA的形态和地形解剖。方法:对20具人体尸体(男14具,女6具,上肢40具)进行研究。根据观察到的起源将RRA分为4组:起源于桡动脉(RA) (A型)、RA根(B型)、肱动脉(BA) (C型)和尺动脉(UA)。确定RRA相对于肱二头肌肌腱(TBB)在前后方向上的相对定位。测定RRA原点到髁间线的垂直距离和该动脉的直径。用数字卡尺进行形态测量评估。所得数据采用SPSS 21.00软件进行分析。结果:RA动脉最常见(A型占47.5%,四肢19例)。其次是RA根(B型32.5%,13个肢体),BA (C型17.5%,7个肢体)和UA (D型2.5%,1个肢体)。38个肢体(95%)的RRAs在TBB前方运动,2个肢体(5%)的RRAs在肌腱后方运动。RRA原点至髁间线的垂直距离平均为32.20±6.86 mm。起始点动脉直径平均为2.57±0.58 mm,首支后动脉直径平均为2.05±0.48 mm。我们的研究记录了一种罕见的起源于UA (D型)的RRA形态学变异。结论:虽然我们的许多发现与先前的研究一致,但本研究提出了新的解剖学发现,并阐明了RRA的表面过程和地形定位,以估计其起源点。
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Morphological and Topographical Features of the Radial Recurrent Artery and Its Possible Clinical Significance
Objective: The anatomy of the radial recurrent artery (RRA) is very important for interventional procedures. The aim of this study was to investigate the morphological and topographic anatomy of the RRA. Methods: The study was conducted on 20 human cadavers (14 male and 6 female, 40 upper limbs). The RRA was classified into 4 groups as follows according to the observed origin: RRA originated from the radial artery (RA) (Type A), the root of the RA (Type B), the brachial artery (BA) (Type C), and the ulnar artery (UA). The relative positioning of the RRA in relation to the biceps brachii muscle tendon (TBB), in terms of the antero-posterior direction was determined. The vertical distance of the origin point of the RRA to the intercondylar line and the diameters of this artery were determined. Morphometric evaluation was performed with a digital caliper. The obtained data were analyzed using SPSS version 21.00 software. Results: The artery most commonly originated from the RA (Type A 47.5%, 19 extremities). This was followed by RA root (Type B 32.5%, 13 extremities), BA (Type C 17.5%, 7 extremities), and UA (Type D 2.5%, 1 extremity). The RRAs coursed anteriorly to the TBB in 38 extremities (95%) and passed behind the tendon in 2 extremities (5%). The vertical distance of the origin point of the RRA to the intercondylar line was meanly 32.20 ±6.86 mm. The diameter of the artery at its origin point was meanly 2.57 ± 0.58 mm and just after its first branch was meanly 2.05 ± 0.48 mm. Our study documents a rare morphological variation of the RRA originating from the UA (Type D). Conclusion: While many of our findings align with previous studies, this research presents novel anatomical findings and elucidates the superficial course and topographical positioning of the RRA to estimate its origin point.
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European Journal of Therapeutics
European Journal of Therapeutics MEDICINE, GENERAL & INTERNAL-
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