Chinese Journal of Clinical Anatomy >
Applied anatomy of digital lymphatic vessels
Received date: 2013-12-30
Online published: 2014-10-14
Objective To determine the lymphatic anatomy in human digits. Methods xture of 6% hydrogen peroxide with ink was used to detect lymphatic vessels commencing on bilateral sides of each fingertip. A 30-gauge needle was inserted into the lymphatic vessel and injected with a radio-opaque barium sulphate or lead oxide mixture. Vessels were traced, photographed and radiographed to demonstrate the lymphatic pathways and the relationship with the surrounding tissues in each digit. Transverse sections were made in one specimen. Results Each digit contained two collecting lymphatic vessels, one on each side. The diameter of the vessels varied from 0.2 to 0.8 mm, being larger in the proximal side and smaller in the distal end. They originated underneath the dermis on sides of the distal phalanges and travelled tortuously along the midaxial lines in the subcutaneous tissue on each side of digits. Vessels of adjacent digits converged in web spaces of the hand except vessels on the lateral border of the thumb and the medial border of the little finger. They then traveled radially to merge with lymphatic vessels in the dorsum of the hand. Transverse section of the finger showed locations of the digital lymphatic vessels, arteries, veins, nerves and neighboring tissues. Conclusion Actual and accurate lymphatic anatomy of the human digits has been described. This information upgrades our lymphatic anatomical knowledge and the results will be of bene?t for clinical management and further studies in the region.
Key words： Lymphatic vessel; Digit/finger; Lymphedema; Digital replantation; D ; igital reconstruction
CENG Fan-Jiang , BO Wei-Ren , WANG De-An , CHEN Yuan- . Applied anatomy of digital lymphatic vessels[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(5) : 548 -552 . DOI: 10.13418/j.issn.1001-165x.2014.05.010
[1] Haagensen CD, Feind CR, Herter FP, et al. The lymphatics in cancer
[M]. Philadelphia: WB Saunders, 1972: 1-22.
[2] Aselli G. De lactibus sine lacteis venis
[M]. Italy: Milan, 1627: 1-103.
[3] Cruikshank W. The anatomy of the absorbing vessels of the human body
[M]. London: G. Nicol, 1786: 1-210.
[4] Mascagni P. Vasorum lymphaticorum corporis humani historia et ichnographia
[M]. Sienna: P. Carli, 1787: 1-74, Table IX to XXVIb.
[5] Bonamy C, Broca P, Beau ME. Atlas d’anatomie descriptive du corps humain
[M]. Paris: Victor Masson, 1850: PI43-54.
[6] Sappey PC. Anatomie, Physiologie, Pathologie des vaisseaux lymphatiques
[M]. Paris: Adrien Delahaye, 1874: 1-134.
[7] Gerota, D. Zur technik der lymphgefassinjection. Eine neue injections-masse fur lymphgefasse. Polychrom injection
[J]. Anat Anzeiger, 1896, 12: 216-224.
[8] Bartel B. Das Lymphgefasssystem
[M]//Handbuch der Anatomie des Menschen. Edited by Kv Bardeleben. Jene: Gustav Fischer, 1909: 1-250.
[9] Rouvière H. Anatomy of the human lymphatic system
[M]. Translated by Tobias MJ. Michgan: Edwards Brothers Inc, 1938: 1-302.
[10] 王云祥. 实用淋巴系统解剖学
[M]. 北京：人民卫生出版社，1984:142-149.
[11] 刘执玉，毕玉顺，田华，等. 淋巴的基础与临床
[M]. 北京：科学出版社，2003：38-41.
[12] Pan WR, le Roux CM, Levy SM. Alternative lymphatic drainage routes from the lateral heel to the inguinal lymph nodes: anatomic study and clinical implicationsans
[J]. ANZ J Surg, 2010, 81(6): 431-435.
[13] Pan WR, Wang DG, Levy SM, et al. Superficial lymphatic drainage of the lower extremity: anatomic study and clinical implications
[J]. Plast Reconstr Surg, 2013, 132(3): 696-707.
[14] Morrison WA, O’Brien BM, MacLeod AM. Evaluation of digital replantation: a review of 100 cases
[J]. Orthop Clin North Am, 1977, 8(2):295-308.
[15] Morrison WA, McCombe D. Digital replantation
[J]. Hand Clin, 2007, 23(1):1-12.
[16]Sebastin SJ, Chung KC. A systemic review of the outcomes of replantation of distal digital amputation
[J]. Plast Reconstr Surg, 2011, 128(3): 723-737.
[17] 阳富春，赵劲民，杨志，等. 断指再植成活影响因素探讨（附111例167指分析)
[J]. 广西医学，2003, 25(2):195-197.
[18] 程国良，潘达德. 手指再植与再造
[M].北京: 北京人民出版社，1997:1-3，118-127，227-228.
[19] Buncke GM, Buncke HJ, Lee CK. Great toe-to-thumb microvascular transplantation after traumatic amputation
[J]. Hand Clin, 2007, 23(1):105-115.
[20]侯书健，程国良，方光荣，等. 拇指及手指再造手术血管危象164 例临床分析
[J].中华显微外科杂志，2005, 28(2):130-132.
[21] Mironov V, Boland T, Trusk T, et al. Organ printing: computer-aided jet-based 3D tissue engineering
[J]. Trends Biotechnol, 2003, 21(4):157-161.
[22] Sun W, Darling A, Starly B, et al. Computer-aided tissue engineering: overview, scope and challenges
[J]. Biotechnol Appl Biochem, 2004, 39(Pt1):29-47.
[23] Lovett M, Lee K, Edwards A, et al. Vascularization strategies for tissue engineering
[J]. Tissue Eng Part B Rev, 2009, 15(3):353-370.
/
| 〈 |
|
〉 |
