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人脑Willis动脉环“三分叉”的显微解剖
引用本文:高文伟,薛绛宇,陈炯,Biond Bhattarai,崔宇辉,陈世文,田恒力,徐涛.人脑Willis动脉环“三分叉”的显微解剖[J].上海医学,2010,33(1).
作者姓名:高文伟  薛绛宇  陈炯  Biond Bhattarai  崔宇辉  陈世文  田恒力  徐涛
作者单位:上海交通大学附属第六人民医院神经外科,200233
摘    要:目的 了解人脑Willis动脉环"三分叉"的解剖特点,为颅底外科及介入治疗提供参考依据.方法 45例(90侧)经10%甲醛溶液处理的人脑标本在光学显微镜下观察、测量和摄影.结果 "三分叉"的出现率为15.6%(7/45),其中大脑前动脉(ACA)双侧A1段管径明显不等(血管外径相差0.5 mm以上)6例(13.3%),一侧A1段缺如1例(2.2%).前交通动脉(AcoA)变异率为62.2%(28/45),其中单支17例(37.8%),双支25例(55.6%),三支2例(4.4%),缺如1例(2.2%).结论 形成"三分叉"原因之一是人脑Willis动脉环中AcoA的复杂解剖变异造成.

关 键 词:Willis动脉环  显微解剖  变异  前循环

Microanatomy of the Trifurcation in arterial circle of Willis
GAO Wenwei,XUE Jiangyu,CHEN Jiong,Biond Bhattarai,CUI Yuhui,CHEN Shiwen,TIAN Hengii,XU Tao.Microanatomy of the Trifurcation in arterial circle of Willis[J].Shanghai Medical Journal,2010,33(1).
Authors:GAO Wenwei  XUE Jiangyu  CHEN Jiong  Biond Bhattarai  CUI Yuhui  CHEN Shiwen  TIAN Hengii  XU Tao
Institution:GAO Wenwei,XUE Jiangyu,CHEN Jiong,BIOND Bhattarai,CUI Yuhui,CHEN Shiwen,TIAN Hengli,XU Tao.Department of Neurosurgery,Shanghai Sixth People\'s Hospital,Shanghai Jiaotong University,Shanghai 200233,China
Abstract:Objective To know about the anatomic characteristics of the Trifurcation of human anterior circle of Willis,so as to provide reference for the cranial base surgery and interventional therapy.Methods Forty-five(90 sides) adult cadaver heads fixed by formalin were dissected under microscope,observed,measured and photographed.Results The Trifurcation was found in 15.5%(7/45) of the specimens.The diameter of the left and right A1 of ACA were different(the difference was 0.5 mm or more) in 6 specimens(13.3%).On...
Keywords:Arterial circle of Willis  Microsurgical anatomy  Variation  Anterior circle
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