中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (1): 23-.

• 应用解剖 • 上一篇    下一篇

颈动脉的形态与动脉粥样硬化的解剖学观测

单娜娜1, 张玉和1, 任仲一1, 胡亚楠1, 马 星1, 董化江1
刘 未1, 高富合1, 徐兴旺1, 李伯森2, 杨德慧2, 单云官1   

  1. 1.武警医学院解剖学教研室,  天津   300162; 2.民政部101研究所遗体防腐整容实验室,  北京   100070
  • 收稿日期:2009-03-06 出版日期:2010-01-25 发布日期:2010-02-03
  • 通讯作者: 单云官,副教授,Tel:(022)60578066 E-mail:snn1980@163.com
  • 作者简介:单娜娜(1980-),女,天津市人,硕士,讲师,主要从事医学信息与临床解剖学,Tel:(022)60578158
  • 基金资助:

    武警医学院科研基金资助课题(WYD200802)

Anatomy of carotid artery and its relationship with carotid atherosclerosis

SHAN Na-na,ZHANG Yu-he,REN Zhong-yi,et al.   

  1. Department of Anatomy, Medical College of Chinese People's Armed Police Forces, Tianjin 300162 China
  • Received:2009-03-06 Online:2010-01-25 Published:2010-02-03

摘要:

        目的  研究颈动脉的形态与动脉粥样硬化的情况,为颈总、颈内动脉狭窄的诊治提供形态学基础。 方法  解剖观测成尸30(男24、女6)侧颈动脉,观测颈动脉的形态及动脉粥样硬化情况。 结果  ①颈总动脉中段外径,左侧(8.75±1.56)mm;右侧(8.31±0.99)mm。②颈内动脉根部外径,左侧(8.15±1.42)mm;右侧(7.51±1.63)mm。③颈外动脉中段外径,左侧(4.87±1.09)mm;右侧(4.39±0.89)mm。④颈动脉粥样硬化发生率占60%(18侧),其中颈内动脉根部四壁明显动脉硬化,内腔直径1.6 mm严重狭窄1侧,占总数的 3.33%。 结论  颈动脉粥样硬化发生率最高为颈动脉窦,占颈动脉硬化标本的100%,可致颈内动脉内腔狭窄。

关键词: 颈动脉窦, 颈总动脉, 颈外动脉, 动脉粥样硬化

Abstract:

        Objective  To explore anatomic features of carotid artery and its relationship with carotid atherosclerosis, and provide morphologic basis for the diagnosis and treatment of common carotid and internal carotid stenosis.Methods  30 adult cadaveric specimens (24 males and 6 females) were used in this study. Carotid arteries were observed and measured, as well the situation of carotid atherosclerosis was recorded.Results  ①Outer diameter of the middle part of common carotid artery was about (8.75±1.56) mm and (8.31±0.99) mm for the left and right respectively.②Outer diameter of the root of internal carotid artery was (8.45±1.42) mm and (7.51±1.63) mm for the left and right respectively.③Outer diameter of the middle part of external carotid artery was (4.87±1.09) mm and (4.39±0.89) mm respectively.④18 cases appeared carotid atherosclerosis(60%) ,which happened mainly on the internal wall at the root of internal carotid.One case(3.33%) presented serious narrow, with the inner diameter of internal carotid of  only about 1.6mm. Conclusions  Carotid atherosclerosis is most likely to appear on the internal wall of carotid, which cause intraluminal narrow of internal carotid.

Key words: Carotid sinus, Common carotid artery, External carotid artery, Atherosclerosis

中图分类号: