手部动静脉伴行关系及临床意义

Concomitant relationship and clinical signifiance of the arteries and veins of hand

目的 :为手外科提供手部动、静脉伴行关系的规律性。方法 :10例新鲜带前臂的手部标本 ,血管分别灌注过氯乙烯乙酸乙酯或乳胶填充剂 ,制成动、静脉分色腐蚀铸型标本和解剖剥制标本 ,观察手部动、静脉伴行关系。结果 :手部浅、深血管弓 ,掌心血管 ,指掌侧总血管动、静脉呈紧密伴行关系。手掌侧和背侧部浅血管以及手指的掌侧和背侧部血管 ,动、静脉无伴行关系或伴行不紧密。结论 :手部动静脉血管配布规律是 :浅层血管呈网络型分布 ,动静脉无伴行关系 ,越接近深部 ,动静脉伴行关系越紧密。指部血管伴行关系都不紧密或没有伴行关系。

Objective: To provide hand surgery with the regularity of concomitant relationship between the arteries and veins of hand.Methods: Concomitant relationship between the arteries and veins of hand were observed in 10 sides decicolor cast specimens and stuffing specimens perfused with hyperchlororinylaceticether or emulsoid.Results: Tight concomitant relationship was observed in the superficial and deep arcus vasclar, palmar metacarpal vessels and common palmar digital vessels.In the palm and the opisthenar, the superficial vessels were not concomitant or not concomitant tightly, so were the vessels of maniphalanx.Conclusion: The distribution regularity between the arteries and veins of hand was showed as follow: Like a network, vessels are not concomitant in the superficial laminae of hand.However, deeper to the partes profunda of the hand, more tight concomitant relationship between the arteries and veins was found.The vessels of the maniphalanx are not concomitant or not tight concomitant.