国人颞中静脉的解剖学研究及意义

宋立玲, 宋慧敏, 孙亚珍, 韩可欣, 吕海林, 罗鹏, 徐蕴

中国临床解剖学杂志 ›› 2020, Vol. 38 ›› Issue (2) : 157-159.

中国临床解剖学杂志 ›› 2020, Vol. 38 ›› Issue (2) : 157-159. DOI: 10.13418/j.issn.1001-165x.2020.02.011
应用解剖

国人颞中静脉的解剖学研究及意义

  • 宋立玲1, 宋慧敏1, 孙亚珍1, 韩可欣1, 吕海林1, 罗鹏2, 徐蕴3
作者信息 +

Anatomical study and significance of the middle temporal vein in Chinese population

  • SONG Li-ling1, SONG Hui-min1, SUN Ya-zhen1, HAN Ke-xin1, LV Hai-lin1, LUO Peng2, XU Yun3
Author information +
文章历史 +

摘要

目的 研究国人颞中静脉的解剖学特征和标志,为临床应用提供解剖学依据。  方法 26侧(左12侧,右14侧,男性18,女性3)经10%福尔马林灌注固定的人头标本,解剖颞区颞中静脉及属支,观察其走行分布,测量主干到各解剖标志距离及管径,计数属支数目并测量管径。比较左、右侧差异。  结果 所有标本存在颞中静脉,主干管径平均2.91 mm(0.72~5.88 mm),属支0~7支,属支管径平均2.05 mm(0.54~5.30 mm),可有2级属支(3.8%,1例)。主干汇入颞浅静脉的位置不完全一致,汇点高者在颧弓根部(42.3%,11例),低者位于颧弓下缘9.02~21.00 mm处。主干大致有3种分布类型:①经典型53.8%(14例),②分裂聚合型30.8%(8例),③直角型15.4%(4例)。转折处到耳屏内侧缘的垂直距离平均18.69 mm,主干到颧弓中点、眶外缘与颧弓交界处、眼外眦、眉弓外端距离的平均值,左侧分别为:(17.23±7.29)、(18.82±9.00)、(21.14±6.96)、(9.62±8.87)mm,右侧分别为:(17.28±5.74)、(18.34±7.63)、(19.40±6.98)mm、(8.17±5.53)mm;相对应的管径平均值分别为左:(3.75±1.63)、(3.34±1.00)、(3.08±1.18)、(2.81±1.23)mm;右:(4.29±2.93)、(2.90±1.29)、(2.89±1.20)、(2.57±1.21)mm。左、右侧无统计学差异。  结论 对国人颞中静脉的走行分布进行解剖学类型划分,以丰富解剖学资料;掌握颞中静脉的解剖学特征和标志,于颞区手术具有指导意义。

Abstract

Objective To study the anatomical characteristics and mark of the middle temporal vein(MTV), providing anatomical basis for clinical application. Methods Twenty-six( 12 cases on the left , 14 cases on the right )human head specimens perfused with 10% formalin solution were collected, and the middle temporal vein and its tributary were dissected. The distribution of the MTV was observed. The distance from the trunk of the MTV to each anatomical landmark and pipe diameter were measured. The number of tributaries was accounted. The difference between the left side and right side was compared. Results All specimens had middle temporal veins, with an average trunk diameter of 2.91 mm (0.72~5.88 mm), had 0~7 tributaries , with an average tributary diameter of 2.05 mm (0.54~5.30 mm). There were 2 levels of tributary in 1 case (accounting for 3.8 %). The locations of the confluence points that the trunk merging into the superficial temporal vein were not exactly the same. The high confluence points were located at the root of the zygomatic arch in 11 cases (accounting for 42.3% ) and the low were at the lower edge of the zygomatic arch 9.02~21.00 mm.  Trunk had three types according to the distribution: ① 14 cases of classic type (accounting for 53.8%) ② 8 cases of split aggregation type (accounting for 30.8%) ③ 4 cases of right-angled type (accounting for 15.4%). The average vertical distance from the turning point to the interior edge of the tragus was 18.69 mm. The mean distance of the left side from the trunk to the midpoint of zygomatic arch, the junction of the orbital outer edge and the zygomatic arch, the outer canthus, and the outer end of eyebrow were (17.23±7.29)、(18.82±9.00)、(21.14±6.96)、(9.62±8.87) mm respectively and the right of those  were (17.28±5.74)、(18.34±7.63)、(19.40±6.98)、(8.17±5.53) mm respectively. The corresponding mean diameter of the vein in the left were (3.75±1.63)、(3.34±1.00)、(3.08±1.18)、(2.81±1.23) mm respectively, the right were (4.29±2.93)、(2.90±1.29)、(2.89±1.20)、(2.57±1.21) mm respectively. There were no statistical difference between the left side and the right side. Conclusions The anatomical knowledge of the middle temporal vein is of crucial importance for  reconstructive scalp surgery in the temporal region.

关键词

颞中静脉 /  颞区 /  应用解剖

Key words

Middle temporal vein /  Temporal region /  Applied anatomy

引用本文

导出引用
宋立玲, 宋慧敏, 孙亚珍, 韩可欣, 吕海林, 罗鹏, 徐蕴. 国人颞中静脉的解剖学研究及意义[J]. 中国临床解剖学杂志. 2020, 38(2): 157-159 https://doi.org/10.13418/j.issn.1001-165x.2020.02.011
SONG Li-ling, SONG Hui-min, SUN Ya-zhen, HAN Ke-xin, LV Hai-lin, LUO Peng, XU Yun. Anatomical study and significance of the middle temporal vein in Chinese population[J]. Chinese Journal of Clinical Anatomy. 2020, 38(2): 157-159 https://doi.org/10.13418/j.issn.1001-165x.2020.02.011
中图分类号: R322.1   

参考文献

[1] Tansatit T, Apinuntrum P, Phetudom T. An anatomical study of the middle temporal vein and the drainage vascular networks to assess the potential complications and the preventive maneuver during temporal augmentation using both anterograde and retrograde injections[J]. Aesthetic plast surg, 2015, 39(5): 791-799.

[2]  吴溯帆, 严晟, 莫雅晴, 等. 微创整形美容相关的上面部解剖[J]. 皮肤科学通报, 2018, 35(6): 613-620.    

[3]  宋勇, 王俊林, 刘彦杰, 等. 以颞中静脉为解剖平面行冠状切口颞区翻瓣[J]. 口腔医学研究, 2018, 34(1): 60-64.
[4]  王树桢, 包志军, 王治国, 等. 耳屏前切口术后颞肌肿胀的原因分析[J]. 航空航天医药, 2009, 20(1): 47-47.
[5]  陈子华, 刘牧之, 钟世镇, 等. 头面部静脉的应用解剖学[J]. 解剖学通报, 1982, 5(4): 32-34.
[6]  王志军, 王毅彪, 夏成俊, 等. 颞区筋膜结构分析[J]. 实用美容整形外科, 1992, 3(4): 205-207.
[7] Yang HM, Jung W, Won SY, et al. Anatomical study of medial zygomaticotemporal vein and its clinical implication regarding the injectable treatments[J]. Surg Radiol Anat, 2015, 37(2): 175-180.
[8] Cvetko E. A case of an unusual arrangement of numerous tributaries to the middle temporal vein and its fenestration[J]. Surg Radiol Anat, 2013, 35(4): 355-357.
[9]  Longmore RB, McRae DA. Middle temporal veins-a potential hazard in the Gillies’Operation[J]. Br J Oral Surg, 1981, 19(2): 129-131.
[10]YanoT, Okazaki M, Yamaguchi K, et al. Anatomy of the middle temporal vein: implications for skull-base and craniofacial reconstruction using free flaps[J]. Plast Reconstr Surg, 2014, 134(1): 92e-101e.
[11]Jung W, Youn KH, Won SY, et al. Clinical implications of the middle temporal vein with regard to temporal fossa augmentation[J]. Dermatol Surg, 2014, 40(6): 618-623.

基金

国家级大学生创新训练计划项目(201810443035);济宁医学院大学生创新训练计划项目(cx2018068)

Accesses

Citation

Detail

段落导航
相关文章

/