趾足部浅淋巴管分布及其临床意义

发布时间：2018-10-26 10:54

【摘要】：目的探究趾和足部浅淋巴管的解剖特征,为临床提供解剖学基础。方法 2具新鲜成人尸体的4例足部标本,在趾侧、足缘皮肤内,注入6%双氧水。在手术显微镜下解剖淋巴管,找到淋巴管插入30G细针,注入硫酸钡混合物。追踪淋巴管的行程并进行照像记录。淋巴管灌注完成后,标本进行X线摄像记录。确切显示足部浅淋巴管的解剖位置、形态、与周围静脉的关系。结果各趾两侧可见集合淋巴管1支,管径0.3 mm。足背集合淋巴管由始于趾、足内外侧缘的淋巴管汇集而成,有14支,管径0.6mm。足后区可见2支集合淋巴管,管径0.4 mm,始于内外踝与跟腱间真皮下。足部淋巴管蜿蜒地行走于皮下组织,与静脉交汇时,从其浅面和/或深面通过。结论本文准确地描述了足部浅表淋巴管的解剖形态,以及与周围组织、血管神经的关系,为相关的临床和科研提供了解剖学依据。
[Abstract]:Objective to investigate the anatomic characteristics of superficial lymphatic vessels in toe and foot, and to provide anatomic basis for clinical practice. Methods 4 foot specimens from 2 fresh adult cadavers were injected with 6% hydrogen peroxide into the skin of the toe and foot margin. The lymphatic vessels were dissected under the operating microscope and inserted into 30 G fine needle and injected with barium sulfate mixture. Track and record the lymphatic vessel. After the lymphatic vessel perfusion was completed, the specimen was recorded by X-ray photography. The anatomical location, morphology and relationship with the peripheral veins of the superficial lymphatic vessels in the foot were demonstrated. Results one lymphatic vessel with a diameter of 0.3 mm. could be seen on both sides of each toe. The lymphatic vessels in the dorsum pedis are composed of 14 lymphatic vessels starting from the toe and the lateral margin of the foot with a diameter of 0.6 mm. In the posterior region of foot, two lumped lymphatic vessels were found. The diameter of the lymphatic vessels was 0. 4 mm, from the subdermis between the medial and lateral malleolus and the Achilles tendon. The lymphatic vessels of the foot meander through the subcutaneous tissue and cross the veins through its superficial and / or deep surface. Conclusion the anatomic morphology of the superficial lymphatic vessels of the foot, the relationship between the superficial lymphatic vessels and the peripheral tissues and the blood vessels and nerves are described accurately in this paper, which provides anatomic basis for clinical and scientific research.
【作者单位】：徐州医学院人体解剖学教研室;
【基金】：徐州医学院院长专项基金(53051116)
【分类号】：R322.2;R622

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