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上睑血管系统的解剖学研究及临床意义

The vascular system of the upper eyelid

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【 文献重点摘要 】
 

Thorough knowledge of the vascular supply is indispensable for repair and oncologic surgery of the eyelids, and has a significant impact on the management of complex defects of this region. This anatomic study was performed with five fresh cadavers after arterial injection of coloured neoprene latex. The distribution of the vascular system of the upper eyelid was examined after dissection and photographic study. It is made up of three arcades: the preseptal arcade, the supratarsal arcade, and the marginal arcade, under the orbicularis oculi muscle. These arcades are supplied by branches of the ophthalmic artery (supraorbital artery, supratrochlear artery and medial palpebral artery) and branches of the facial artery and temporal artery. Small vertical branches arising out of these arcades provide an anastomotic network. This anatomical study aimed to describe the vascular system of the upper eyelid in order to search for constant features and to map the blood supply of the principal upper lid flaps.

 

Keywords

Vascular system, Upper eyelid, Anatomy

 

彻底了解血管供应是眼睑修复和肿瘤手术不可缺少的,对该区域复杂缺损的处理有重要影响。本研究对5具新鲜身体动脉注射彩色氯丁橡胶乳胶后进行了解剖学研究。通过解剖和摄影观察上睑血管系统的分布情况。它由三个arcades组成:the preseptal arcade、the supratarsal arcade和眼轮匝肌下方的the marginal arcade。这些arcades由眼动脉(眶上动脉、滑车上动脉和眼睑内侧动脉)的分支以及面动脉和颞动脉的分支供应。从这些arcades发出的小的垂直分支提供了一个吻合的网络。本解剖学研究的目的是描述上眼睑的血管系统,以寻找恒定的特征,并绘制主要上睑皮瓣的血供图。

 

关键词

血管系统、上睑、解剖学

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