右侧支气管动脉和肋间后动脉的应用解剖学研究  

An Applied Anatomy Study on Bronchial Artery and Posterior Intercostal Artery

作　　者：李华[1] 宋煜宏[2] 代生富[1] 陈其光[1] 朱磊[1] 靳升荣[1] 

机构地区：[1]四川大学华西基础医学和法医学院人体解剖学教研室,成都610041 [2]四川省肿瘤医院胸外科

出　　处：《四川大学学报（医学版）》2003年第4期711-712,715,共3页Journal of Sichuan University(Medical Sciences)

基　　金：卫生部基金 (编号 96-1-3 67)资助

摘　　要：目的　为临床动脉灌注治疗中晚期肺癌提供解剖学依据。方法　解剖、观察 198例成年尸体的右侧肋间后动脉与右支气管动脉的共干类型、右侧支气管动脉起点与椎骨的对应关系 ;测量右侧第三肋间后动脉在腋中线的外径。结果　右侧第三肋间后动脉与支气管动脉的共干类型有四种 ;右侧支气管动脉共干起点平对第 2～ 8胸椎 ,右侧第三肋间后动脉在腋中线的外径平均为 0 .78m m± 0 .33m m(0 .0 5 8mm～ 1.8m m,n=137)。Objective To provide anatomic data for clinical treatment of the right lung cancers at advanced or intermediate advanced stage. Methods One hundred and ninty eight adult cadavers were dissected and the data on the parameters for clinical reference were collected. Results It was found that the common trunks of the right bronchial artery and the third posterior intercostal artery can be divided into four types. The starting point of the common trunks of the right bronchial artery and the third posterior intercostal artery are level with the vertebrae from T 2 to T 8, and 70.20% of the common trunks' starting point are level with the vertebrae from T 4 to T 6. In addition, the average outer diameter of the third posterior intercostal artery at the midaxillary line is 0.78 mm±0 33 mm.Conclusion Base on the above anatomic data, we deem it a reliable and appropriate way to infuse drugs into the third posterior intercostal artery at the midaxillary line for treating the advanced or intermediate stage right lung cancers.

关 键 词：肋间后动脉 支气管动脉 肺癌 解剖学 动脉灌注治疗 

分 类 号：R734.2[医药卫生—肿瘤]