_颌面部血管的应用解剖_颌面部血管的应用解剖

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1、·606·CHINESEJOURNALOFCLINICALANATOMYVOL.28NO.62010·应用解剖·颌面部血管的应用解剖王爱平,彭田红,周小兵,谢巍,吕运成,洪丽,李严兵南华大学医学院人体解剖学教研室，湖南衡阳421001【摘要】目的对人体颌面部血管进行巨微解剖及血管铸型，为临床皮瓣设计提供解剖学依据。方法①3例正常成人头颈部标本，经颈总动脉灌注红色乳胶，由浅入深逐层解剖，观测并记录颌面部血管的起始处外径、走行、分支、分布、吻合及伴行情况；②3例正常成人新鲜头颈部标本，加压注入红色过氯乙烯填充剂，经腐蚀后观察颌面部血管的

2、来源、走行、分支、分布、吻合及伴行情况。结果颌面部的血供主要来源于面动脉、眼动脉、上颌动脉和颞浅动脉的分支。面动脉的分支主要供血面颊部、唇部、鼻部和颏区；眼动脉的分支主要供血眼球、眼球外肌、泪腺、鼻背和眼睑；上颌动脉的分支主要供血牙及牙龈、颊部、下颌关节、鼻腔、腭、咀嚼肌；颞浅动脉的分支主要供血腮腺、眼轮匝肌、上下睑外侧皮肤、颞部的软组织及面神经颧支、上颊支和颞支。结论颌面部动脉血管系统的解剖学资料，可为临床颌面部整形美容术提供了应用参考依据。【关键词】颌面部血管；应用解剖【中图分类号】R323.1【文献标识码】A【文章编号】100

3、1-165X(2010)06-606-05Appliedanatomyofmaxillofacialregion'sbloodvesselWANGAi-ping,PENGTian-hong,ZHOUXiao-bing,etal.DepartmentofAnatomy,Medicalschoolofuniversityofsouthchina,Hengyang421001,China【Abstract】ObjectiveToprovidethereferenceofappliedanatomyforflapdesignofmaxill

4、ofacialregion,byadoptingmacromicrodissectionandbloodvesselcastskill.Methods①Antisepsisfixationandbywayofcommoncarotidarteryfillingemulsionstuffingdealtwith3specimensofhealthyadultcephal-neckregion.Dissectionwasperformedbitbybitfromthesurfacetothedeep,forobservingandrec

5、ordingtheorigindiameter,courses,branches,distributionofmaxillofacialregion'sbloodvessels;②Threefreshhealthyadultcephal-neckregion'sspecimenwerefilledwithredperchloroethylenestuffingthroughthecommoncarotidartery.Afterthecorrosion,theorigin,courses,branches,distributiona

6、ndanastomosisofmaxillofacialregion'sbloodvesselswereexplored.ResultsMaxillofacialregion'sbloodsupplywasmainlyfromthebranchesoffacialartery,ophthalmicandmaxillaryartery,andsuperficialtemporalartery,whilethatofcheek,lips,noseandchinareawerefromthebranchesoffacialartery,t

7、hatofeyeball,extraocularmuscles,lacrimalglandanddorsumandpalpebraewerefromthebranchesofophthalmicartery,thatofteeth,gingiva,cheek,mandibularjoint,nasalcavity,palateandmusclesofmasticationwerefromthebranchesofmaxillaryartery,andthatofparotidgland,orbicularisoculi,softti

8、ssueoftemporalandbranchoffacialnervewerefromthebranchesofsuperficialtemporalartery,respectively.ConclusionsItisabenef