- 期刊
Distribution of the Superficial Veins in Cubital Fossa in Chinese Adults
中國人肘窩淺層靜脈的分部情形
摘要
肘窩淺層靜脈系統在整形外科上是重要的區域。尤其取前臂皮瓣時或以頭臂靜脈為肉莖所設計的皮瓣皆為常用之處。種族上的變異可能影響手術的結果。本實驗連續五年來，對五十一具屍體的前臂、肘窩、及上臂作頭臂靜脈的解剖分析。其結果分為四類；最常見為第三類共佔40.2%，第一類及第二類各佔22.5%、27.5%。另一不常見的變異，我們歸為第四類，亦佔9.8%，實不容忽視。同一屍體兩臂相同的靜脈分類只佔37.5%。 結論，本實驗證實了中國人的肘窩淺層靜脈系統與高加索人及印度人不同。且提供了詳細的解剖分析。對臨床醫師在作有關上臂靜脈的手術亦有幫助。
關鍵字
無資料並列摘要
Superficial venous system in cubital fossa is important in plastic surgery and commonly used when harvesting the free forearm flap or used as cephalic vein pedicle flap. Ethnological variation may affect surgical procedure. In this study, A total of 51 cadavers with 102 superficial vein systems of upper limb were examined in five consecutive years from 1987-1991. The dissection to clarify the variant distributions of the cephalic vein in forearm, antecubital fossa and arm. Four types were classified. The most common type, Type Ⅲ, accounts for 40.2%. Type Ⅰ&Ⅱ accounts for 22.5%, 27.5% respective1y The unusual variation, type Ⅳ account for 9.8% cannot be neglected and the incidence of the same type in one individual was 37.5%. In conclusion, the present study demonstrated that the superficial vein of cubital fossa in the Chinese adult differed from that of the Caucasian and Indian. It has provided a detailed anatomical distribution analysis in Chinese adult, which should benefit the clinician in dealing with operation procedures related with the superficial vein in cubital fossa.