单侧完全性唇腭裂胎儿宫内手术修复的解剖学基础

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (6): 617-619.

单侧完全性唇腭裂胎儿宫内手术修复的解剖学基础

黄海龙¹，　陈丽娟²，　钟卫娟²，　邹锦慧¹，　梁恩来³

1.肇庆医学高等专科学校解剖学教研室，广东肇庆 526020； 2.高要市妇幼保健院妇产科，广东高要 526100；
3.肇庆市第二人民医院口腔科，广东肇庆 526060

收稿日期:2012-07-09 出版日期:2012-11-25 发布日期:2012-12-11
作者简介:黄海龙（1980-），男，广西北海人，学士，讲师，主要研究方向:唇腭裂胎儿血管铸型的三维建模研究，Tel:(0758) 2857587
基金资助:
广东省医学科研基金资助项目(A2012722)；肇庆市科技创新项目(2011E381)

Anatomic basis on fetal intrauterine surgical repair of unilateral complete cleft lip and palate

HUANG Hai-long¹, CHEN Li-juan², ZHONG Wei-juan², ZOU Jin-hui¹, LIANG En-lai³

1.Department of Anatomy, Zhaoqing Medical College, Zhaoqing 526020, China; 2. Department of Obstetrics & Gynecology, Gaoyao Maternal and Child Care Service Centre, Gaoyao 526100, China; 3. Department of Stomatology, The Second People's Hospital of Zhaoqing, Zhaoqing 526060, China

Received:2012-07-09 Online:2012-11-25 Published:2012-12-11

摘要/Abstract

摘要：

目的　为单侧性唇腭裂胎儿宫内手术修复提供解剖学基础。方法制作和观察21～32周正常和单侧完全性唇腭裂胎儿头颈部血管铸型标本，比较他们唇腭部血供的来源及吻合情况。结果 ①正常胎儿唇腭部的血供主要由上唇动脉、鼻翼下缘动脉和腭大动脉组成。两侧上唇动脉在中线附近吻合成上唇动脉弓，并在鼻中隔前下部形成浅深两层血管网，且上唇动脉鼻中隔支也与腭大动脉穿支相互吻合；②单侧完全性唇腭裂胎儿唇腭部血供由于患侧裂隙的阻隔，导致左右上唇动脉不能吻合成弓，患侧腭大动脉穿过骨残端与患侧鼻腔内的血管相吻合。结论单侧完全性唇腭裂胎儿唇腭部血管非常丰富，尤以上唇动脉和腭大动脉为血供主干。

关键词: 唇腭裂, 宫内手术, 胎儿, 血供

Abstract:

Objective　To provide anatomic basis for fetal intrauterine surgical repair of complete cleft lip and palate.　Methods　Vascular cast specimens of the head and neck from 21～32W normal fetus and unilateral complete cleft lip and palate fetus were carried out. Blood supply source and arterial anastomosis of lip and palate were observed and compared.　Results　①For healthy fetus, blood supply of lip and palate mainly came from superior labial artery, nasal alar artery and greater palatine artery. The arterial arch formed by the anastomosis between the left and the right superior labial artery. The superficial and deep vascular networks were formed in nasal septum，and the nasal septum branch of superior labial artery anastomosed with the perforator branch of greater palatine artery. ② Due to the slit separation, The lip and palate vessels of unilateral complete cleft lip and palate fetus absent the anastomosis between the left and the right superior labial artery, however the greater palatine artery and nasal vessel anastomosed with each other through bone stump.　Conclusions　For fetus of cleft lip and palate, blood supply of the lip and palate was plentiful, especially for superior labial artery and greater palatine artery.

Key words: Cleft lip and palate, Intrauterine surgery, Fetus, Blood suppl

中图分类号:

R323.1

黄海龙, 陈丽娟, 钟卫娟, 邹锦慧, 梁恩来. 单侧完全性唇腭裂胎儿宫内手术修复的解剖学基础[J]. 中国临床解剖学杂志, 2012, 30(6): 617-619.

HUANG Hai-Long, CHEN Li-Juan, ZHONG Wei-Juan, JU Jin-Hui, LIANG En-Lai. Anatomic basis on fetal intrauterine surgical repair of unilateral complete cleft lip and palate[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(6): 617-619.

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