[人胎儿心脏右心室鼻中隔边缘小梁的解剖特点]。

A A Yakimov
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引用次数: 0

摘要

本文对发育17-28周的99例无畸形、无轻微异常的人胎心标本进行了右室间隔边缘小梁(SMT)的微观和宏观解剖结构研究。SMT被发现是一个恒定的心脏结构,由主体和两个分支组成:前分支和后分支。SMT的主体是心肌瓣,与室间隔不可分离,室间隔的长轴总是沿着连接室上嵴和右心室尖的室间隔止点的常规线。75%的smt体后缘明显,21.9%的smt体后缘平滑。46.3%的SMT基底稳固,52.6%的SMT基底分裂为继发性小梁。窄型和宽型SMTbody被认为是其极端的解剖学变体。建议将SMT分为两种解剖类型:一种是完整型,即SMT由肌谷形式的体和两条分支组成的复合体,另一种是不完整型,即其中一条分支缺失。人类胎儿心脏SMT具有变异性的特点,表现为SMT碱基形式、后缘、分支的存在、形状和相互分配等解剖变异的某些组合。
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[ANATOMICAL CHARACTERISTICS OF SEPTOMARGINAL TRABECULA OF THE RIGHT VENTRICLE OF THE HUMAN FETAL HEART].

Anatomical structure of right ventricular septomarginal trabecula (SMT) was studied at micro-macroscopical level in 99 preparations of human fetal heart formed without malformations and minor abnormalities, obtained at 17–28 weeks of development. SMT was found to be a constant cardiac structure consisting of the body and two branches: anterior and posterior. Body of SMT is a myocardial vallum, unseparable from the interventricular septum, the long axis of which is always located along the conventional line connecting septal insertion of supraventricular crest and right ventricular apex. Posterior margin of SMT body was distinct in 75% of cases and smoothened in 21.9%. Base of the SMT was solid in 46.3% and split into secondary trabeculae in 52.6% of cases. Narrow and wide forms of SMT body were considered as its extreme anatomical variants. It is suggested to distinguish two anatomical types of SMT: a complete type, in which SMT was represented by a complex consisting of body in the form of muscular vallum and both branches, and an incomplete one, in which one of the branches was absent. Human fetal heart SMT is characterized by a variability, which is manifested by certain combinations of anatomic variants of SMT base form, its posterior margin, and the presence, shape and mutual location of its branches.

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