
浏览全部资源
扫码关注微信
1.贵州医科大学临床医学2022级,贵州 贵阳 550025
2.贵州医科大学基础医学院人体解剖与神经生物学系,贵州 贵阳 550025
肖朝伦,E-mail:441054475@qq.com
收稿:2025-09-16,
网络首发:2026-07-24,
纸质出版:2026-07-25
移动端阅览
向紫柔,陈清,李玉美等.面动脉及口周分支的临床应用解剖学研究[J].局解手术学杂志,2026,35(07):593-596.
XIANG Zi-rou,CHEN Qing,LI Yu-mei,et al.Applied clinical anatomy of the facial artery and perioral branches[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(07):593-596.
向紫柔,陈清,李玉美等.面动脉及口周分支的临床应用解剖学研究[J].局解手术学杂志,2026,35(07):593-596. DOI: 10.11659/jjssx.09E025061.
XIANG Zi-rou,CHEN Qing,LI Yu-mei,et al.Applied clinical anatomy of the facial artery and perioral branches[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(07):593-596. DOI: 10.11659/jjssx.09E025061.
目的
2
对面动脉及分支进行解剖研究,旨在阐明该区域血管的精细解剖、变异规律及其临床意义。
方法
2
解剖9具(18侧)成人标本头面部,观察面动脉的走行和分支,电子游标卡尺测量相关数据。
结果
2
2侧面动脉损伤严重未采用,最终共纳入16侧。根据Furukawa分型将面动脉分为:1型5侧,2型8侧,3型3侧,4型0侧。面动脉在口周分叉类型:Ⅰ型10侧,分叉处至口角距离为(33.22±14.05) mm;Ⅱ型6侧,上唇动脉分叉处至口角距离为(12.64±5.54) mm,下唇动脉分叉处至口角的距离(28.18±5.15) mm。自口角作平行于面部矢状中线的垂线,上、下唇动脉与经口角垂线的交点至口角距离分别为(7.70±1.61) mm、(15.52±6.83) mm,下唇动脉与经口角垂线的交点至下颌骨下缘距离为(22.39±6.81) mm。面动脉起始点至下颌角距离为(26.42±3.18)mm,面动脉起始点外径为(2.98±0.60)mm。
结论
2
面动脉及口周分支的变异较大,掌握其变异类型是提升相关手术成功率、确保微创治疗安全性的根本前提。
Objective
2
To perform an anatomical study on the facial artery and its branches,aiming to elucidate the detailed vascular anatomy,variation patterns,and clinical significance in this region.
Methods
2
Nine adult head and face cadaveric specimens (18 sides) were dissected. The course and branching patterns of the facial artery were observed,and relevant data were measured using an electronic vernier caliper.
Results
2
Two sides were excluded due to severe damage to the facial artery,leaving 16 sides for final analysis. According to the Furukawa classification,the facial artery was categorized as follows: type 1 in 5 sides, type 2 in 8 sides, type 3 in 3 sides, and type 4 in none of the specimens. The branching patterns of the facial artery around the oral commissure were classified as follows: type Ⅰ in 10 sides, with the distance from the bifurcation point to the oral commissure being (33.22±14.05) mm; type Ⅱ in 6 sides, with the distance from the bifurcation of the superior labial artery to the oral commissure being (12.64±5.54) mm, and the distance from the bifurcation of the inferior labial artery to the oral commissure being (28.18±5.15) mm. A perpendicular line was drawn through the oral commissure parallel to the facial sagittal midline. The distances from the intersections of the superior and inferior labial arteries with this perpendicular line to the oral commissure were (7.70±1.61)mm and (15.52±6.83)mm,respectively. The distance from the intersection of the inferior labial artery with the vertical line to the inferior border of the mandible was (22.39±6.81)mm. The distance from the origin of the facial artery to the mandibular angle was (26.42±3.18)mm,and the external diameter of the origin of the facial artery was (2.98±0.60)mm.
Conclusion
2
The facial artery and its perioral branches exhibit considerable anatomical variations. A thorough understanding of these variations is a fundamental prerequisite for improving the success rate of related surgeries and ensuring the safety of minimally invasive procedures.
吴晓勇 , 熊猛 . 面动脉及其分支的解剖研究及临床价值 [J]. 中国美容医学 , 2013 , 22 ( 5 ): 523 - 525 . doi: 10.15909/j.cnki.cn61-1347/r.2013.05.012 http://dx.doi.org/10.15909/j.cnki.cn61-1347/r.2013.05.012 .
吴镝 , 王新刚 , 黄晨煜 , 等 . 面动脉的解剖学研究及其临床意义 [J]. 组织工程与重建外科杂志 , 2006 , 2 ( 5 ): 256 - 258 . doi: 10.3969/j.issn.1673-0364.2006.05.005 http://dx.doi.org/10.3969/j.issn.1673-0364.2006.05.005 .
丛源 , 刘静雯 , 孙晓旭 , 等 . 鼻唇沟区面动脉分支的应用解剖学研究 [J]. 局解手术学杂志 , 2024 , 33 ( 10 ): 882 - 886 . doi: 10.11659/jjssx.11E023040 http://dx.doi.org/10.11659/jjssx.11E023040 .
Furukawa M , Mathes DW , Anzai Y . Evaluation of the facial artery on computed tomographic angiography using 64-slice multidetector computed tomography: implications for facial reconstruction in plastic surgery [J]. Plast Reconstr Surg , 2013 , 131 ( 3 ): 526 - 535 . doi: 10.1097/PRS.0b013e31827c6f18 http://dx.doi.org/10.1097/PRS.0b013e31827c6f18 .
吴泽勇 , 张倩倩 , 史玉仓 , 等 . 面动脉穿支蒂V-Y推进皮瓣在老年患者中下面部皮肤肿瘤治疗中的临床应用 [J]. 中国美容整形外科杂志 , 2024 , 35 ( 11 ): 645 - 648 . doi: 10.3969/j.issn.1673-7040.2024. 11.003 http://dx.doi.org/10.3969/j.issn.1673-7040.2024.11.003 .
欧阳广哲 , 何永静 , 和金 , 等 . 鼻唇沟区皮瓣修复鼻缺损的研究进展 [J]. 中国美容整形外科杂志 , 2025 , 36 ( 1 ): 45 - 48 . doi: 10.3969/j.issn.1673-7040.2025.01.012 http://dx.doi.org/10.3969/j.issn.1673-7040.2025.01.012 .
王迪 , 陈文 . 面动脉穿支皮瓣解剖研究及临床应用进展 [J]. 中国修复重建外科杂志 , 2017 , 31 ( 2 ): 246 - 250 . doi: 10.7507/1002-1892.201608129 http://dx.doi.org/10.7507/1002-1892.201608129 .
关志江 , 肖敏勤 . 面动脉穿支鼻唇沟皮瓣修复鼻缺损的应用 [J]. 皮肤病与性病 , 2021 , 43 ( 4 ): 548 - 549 . doi: 10.3969/j.issn.1002-1310.2021.04.040 http://dx.doi.org/10.3969/j.issn.1002-1310.2021.04.040 .
Landfald IC , Adamek J , Siva Kumar YA , et al . Anatomy reimagined: the landfald classification as a transformative surgical and radiological guide to facial artery variants [J]. Ann Anat , 2026 , 263 : 152712 . doi: 10.1016/j.aanat.2025.152712 http://dx.doi.org/10.1016/j.aanat.2025.152712 .
Zhuang J , Zheng Q , Su X , et al . Clinical manifestations and prognosis of embolism caused by filler injection in different facial regions [J]. Plast Reconstr Surg Glob Open , 2023 , 11 ( 8 ): e5225 . doi: 10.1097/GOX.0000000000005225 http://dx.doi.org/10.1097/GOX.0000000000005225 .
杨东芹 , 喻磊 , 边欢 , 等 . 口唇段面动脉与面静脉的临床应用解剖研究 [J]. 局解手术学杂志 , 2015 , 24 ( 3 ): 267 - 269 . doi: 10. 11659/jjssx.11E023040 http://dx.doi.org/10.11659/jjssx.11E023040 .
徐丹 , 丁冉 , 沙明 , 等 . 口周岛状皮瓣动脉构筑的显微解剖学研究 [J]. 中国临床解剖学杂志 , 2021 , 39 ( 5 ): 518 - 523 . doi: 10.13418/j.issn.1001-165x.2021.05.004 http://dx.doi.org/10.13418/j.issn.1001-165x.2021.05.004 .
Lee SH , Gil YC , Choi YJ , et al . Topographic anatomy of the superior labial artery for dermal filler injection [J]. Plast Reconstr Surg , 2015 , 135 ( 2 ): 445 - 450 . doi: 10.1097/PRS.0000000000000858 http://dx.doi.org/10.1097/PRS.0000000000000858 .
Lupu F , Iliuta CP , Enyedi M , et al . The assessment of the anatomical risk in the perioral region [J]. Maedica (Bucur) , 2022 , 17 ( 4 ): 820 - 825 . doi: 10.26574/maedica.2022.17.4.820 http://dx.doi.org/10.26574/maedica.2022.17.4.820 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621