躯干背区刮痧的血管解剖学研究

目的：观察背区体被组织的血管分布，为刮痧疗法提供血管形态学依据。方法：选用10具新鲜成人捐献尸体，采用巨微解剖、全身动脉放射显影技术及图像分析技术，观察分析背区体被组织的血管来源、分支和吻合情况。结果：①背区皮肤通过许多结缔组织纤维束与深筋膜相连，使背区体被组织厚而致密，移动性小。②背区血供主要来自肌皮穿支，穿支数较多，密度也较大。③背区皮动脉互相吻合成网，较粗的吻合支形成有明显方向性的纵行和横行的链式血管吻合。结论：本研究提供详细的躯干背区体被组织的血管解剖数据，为刮痧等疗法的临床设计和作用机理探讨提供解剖学依据。

Anatomical study on vessels by scraping therapy in the back area of the trunk

Objective： To observe the vascular the trunk for providing the morphological basis distribution of the tegumental tissue on the back of for the scraping therapy. Methods： Ten fresh, adult cadavers contributed were selected. Techniques of macro-and microscopic dissection, radiological imaging of the arterials of the whole body and imaging analysis were used to observe and analyze the vascular origins, branches and the anastomoses in the tegumental tissues on the back area. Results： （1）The skin of the back connected to the deep fascia through many connective tissue fibers, so that the tegumental tissues on the back area were thickened, dense and less mobility. （2）The blood supply on the back area originated mainly from the perforating rami of the musculo-cutaneous arteries. The number of the perforating rami was much and the density of these rami was larger. （3）The cutaneous arteries on the back area anastomosed each other to constitute nets. The thicker arterial anastomosing branches formed anastomoses with obvious longitudinal and transverse vascular chain. Conclusion： The detailed vascular anatomical data of the tegumental tissue on the backareaof the trunkareprovided for the clinieal design of the scraping therapy and the mechanism.