肩胛背动脉在肩胛骨内侧缘体表投影的解剖学研究  

Anatomical study of the surface projection of the dorsal scapular artery to the medial border of the scapula

作　　者：马春明[1] 鞠晓华[1] 

机构地区：[1]潍坊医学院解剖学教研室,山东潍坊261053

出　　处：《中国临床解剖学杂志》2016年第1期50-52,58,共4页Chinese Journal of Clinical Anatomy

基　　金：潍坊市卫生局基金资助项目(2012022);潍坊市科技局基金资助项目(201301063)

摘　　要：目的通过对成人肩胛背动脉的解剖学观察及测量,研究从体表标志确定肩胛背动脉走行路线。方法解剖尸体26具(共52侧),显露肩胛背动脉,测量肩胛背动脉直径及其与肩胛骨内侧缘距离,所得数据经SPSS12.0统计软件处理。结果肩胛背动脉与肩胛骨上角距离为(0.34±0.25)cm,与肩胛冈内侧端为(1.58±0.41)cm,与肩胛骨下角为(3.45±0.28)cm,得出肩胛背动脉走行于肩胛骨内侧缘内侧,在距离肩胛骨上角0.34 cm、肩胛冈内侧端1.58 cm、肩胛骨下角3.45 cm三点处做一连线,该连线即为肩胛背动脉的体表投影。结论肩胛背动脉的体表投影为医务工作者应该掌握的知识要点,可避免操作过程中的动脉损伤,并可为确定肩胛背动脉皮瓣的中轴核心提供解剖学依据。Objective To identify the surface landmarks for location of the course of the dorsal scapular artery by cadaveric dissection. Methods 26 adult complete cadavers were dissected to reveal the dorsal scapular artery, the diameters and the distances to the medial border of the scapula of the dorsal scapular artery were measured, and the data was analyzed by SPSS statistical software. Results The distance from the dorsal scapular artery to the superior angle of the scapula was （0.34±0.25） cm, to the medial border of the scapular spine was （1.58±0.41） cm, and to inferior angle of the scapula was （3.45±0.28） cm. The dorsal scapular artery coursed medially along the medial border of the scapula. The link line of the following three points was the course of the dorsal scapular artcry： The point 0.34 cm to the superior angle of the scapula, the point 1.58 cm to the medial border of the scapular spine, and the point 3.45 cm to inferior angle of the scapula. Conclusions The surface projection of the dorsal scapular artery should be remembered by medical worker to avoid artery injury and the course can provide the anatomic basis which determines the central axis of the dorsal scapular artery flap.

关 键 词：肩胛背动脉 体表投影 肩胛背动脉皮瓣 

分 类 号：R322.12[医药卫生—人体解剖和组织胚胎学]