树qu（Tupaia belangeri chinensis）的脑底动脉环

用25只树qu,从升主动脉灌注带色的橡胶乳液,在解剖显微镜下进行解剖观察,用目测微尺进行测量。大多数树qu（22只）有完整的脑底动脉环。由左、右大脑前动脉向内侧各发一前交通动脉组成大脑前总动脉。前交通动脉口径为大脑前动脉的75-85%。后交通动脉口径与大脑后动脉相近,连于颈内动脉与大脑后动脉（基底动脉的分支）之间。测量了组成脑底动脉环有关动脉的口径。由于后交通动脉足够粗大,只有中断左、右颈总动脉和左、右椎动脉,才能造成全脑缺血。     

正常成人脑主要供血动脉的MSCT血管成像研究

目的:观测正常脑动脉多层螺旋CT血管成像(multi-slice spiral CT angiography,MSCTA)主要动脉的起始部内径、走行、形态及其分支的显示情况,为脑血管疾病的诊断提供参考资料.方法:选择40例健康体检者行全脑血管64层MSCTA检查,采用ADW4.2工作站测量各主要动脉起始部内径,观测其走行、形态和变异,并统计各级分支的显示率.结果:正常成人脑动脉常见的变异发生在组成脑底动脉环的大脑前动脉A1段、前后交通动脉及大脑后动脉起始段,以后交通动脉变异最大.颈内动脉末段、大脑前动脉A1段、大脑中动脉、大脑后动脉、眼动脉、前交通动脉、后交通动脉及脉络膜前动脉在MSCTA上的显示率分别为100%、95%、100%、100%、100%、92.5%、58.8%和72.5%.主要脑动脉起始部内径分别是:颈内动脉末段4.013±0.770 mm、大脑前动脉A1段2.709±0.877 mm、大脑中动脉3.498±0.640 mm、大脑后动脉2.025±0.608 mm、眼动脉1.640±0.334 mm、后交通动脉1.491±0.697mm及脉络膜前动脉1.460±0.483mm.结论:正常成人脑血管变异主要发生于脑底动脉环,脑血管直径与其供血范围及分布区血流动力学因素相关.     

川金丝猴脑的动脉供应

为了探讨川金丝猴脑动脉供应的形态学特征,为脑生物学研究提供结构基础,用血管铸型和组织透明方法追踪观察了川金丝猴幼体脑动脉的来源和分支分布。结果表明川金丝猴与人脑的动脉供应基本相同,也由颈内动脉和椎动脉供应。上述动脉的分支于垂体周围形成大脑动脉环。颈内动脉通过大脑前动脉和大脑中动脉主要供应大脑半球前部的血液,椎动脉参与形成基底动脉、小脑动脉系和大脑后动脉,供应脑干、小脑和大脑后部的血液。另外,川金丝猴幼体左、右大脑前动脉间缺少前交通动脉。     

长爪沙鼠脑底前后交通动脉变异类型分析

目的解剖观察成年长爪沙鼠脑底动脉前后交通支的缺失变异类型。方法选用128只成年长爪沙鼠,脑缺血死亡或乙醚麻醉处死后,解剖后在镜下对其脑底表面的动脉及前后交通支进行了观察。结果所解剖的长爪沙鼠存在7种前交通支的变异类型和5种后交通支变异类型。其中,前交通支缺失的类型占总数的46·1%,后交通支的缺失类型占总数的85·2%,两者同时缺失的概率为39·27%,与单侧结扎的方法制备脑缺血模型的成模率相近。结论长爪沙鼠的脑底动脉前后交通支存在多种变异,尤其是某些个体存在完整的后交通支。     

前交通动脉复合体的显微外科解剖研究

目的：通过手术显微镜对前交通动脉复合体及穿支进行解剖和测量,进一步熟悉和掌握该复合体的结构及毗邻血管的走行,为前交通动脉瘤手术提供解剖学依据。方法：用红色乳胶经颈内动脉对15例（30侧）福尔马林固定的湿性尸头进行灌注,然后在手术显微镜下对前交通动脉复合体进行解剖观测,所得结果用SPSS17.0软件进行统计分析。测量大脑前动脉A1和A2段、前交通动脉、Heubner回返动脉、A1段和前交通动脉穿支的长度、直径和各种形态变异。结果：未经选择的标本双侧A1发育无明显差异;术中对Heubner回返动脉、A1段穿支、前交通动脉穿支应仔细分辨加以保护;A1中1/3段穿支少,可作为前交通动脉瘤手术时临时阻断A1的部位;血管造影时前交通动脉不易看清与多种因素有关。结论：前交通动脉复合体复杂多变,熟悉前交通动脉复合体及穿支的解剖特点,对外科医生处理该区疾病至关重要。     

前交通动脉复合体的显微外科解剖研究

目的:通过手术显微镜对前交通动脉复合体及穿支进行解剖和测量,进一步熟悉和掌握该复合体的结构及毗邻血管的走行,为前交通动脉瘤手术提供解剖学依据.方法:用红色乳胶经颈内动脉对15例(30侧)福尔马林固定的湿性尸头进行灌注,然后在手术显微镜下对前交通动脉复合体进行解剖观测,所得结果用SPSS17.0软件进行统计分析.测量大脑前动脉A1和A2段、前交通动脉、Heubner回返动脉、A1段和前交通动脉穿支的长度、直径和各种形态变异.结果:未经选择的标本双侧A1发育无明显差异;术中对Heubner回返动脉、A1段穿支、前交通动脉穿支应仔细分辨加以保护;A1中1/3段穿支少,可作为前交通动脉瘤手术时临时阻断A1的部位;血管造影时前交通动脉不易看清与多种因素有关.结论:前交通动脉复合体复杂多变,熟悉前交通动脉复合体及穿支的解剖特点,对外科医生处理该区疾病至关重要.

Abstract：

Objective:To investigate the anatomy structure and adjacent vessels by investigating the anterior communicating artery complex and its perforating branches under an surgery microscope, in order to, to provide anatomical datas for anterior communicating aneurysms. Method: A total of 15 adult cadaveric heads (30 cerebral hemispheres) fixed with formalin were used, red latex was injected into internal carotid artery. Anterior communicating artery complexes were dissected, detected by surgery microscope.The results were analyzed with SPSS 17.0 statistical software. The lengthes, diameters and variations of the anterior cerebral artery(ACA)A 1 segment, A2 segment, anterior communicating artery (AComA), Heubner recurrent artery(HRA), perforating branches of A1 segment and AcomA were measured. Result:There were no statistically significant differences between two sides of A1 segment in length and diameter. HRA, perforating branches of Al segment and AComA should be carefully recognized and protected during the operation on anterior communicating aneurysms. The middle 1/3 of A1 segment which had less perforating branches was the best position for temporary occlusion during the operation on anterior communicating aneurysms. It is difficult to distinguish AComA in cerebral angiography. Conclusion: The anterior communicating artery complex was regarded as the most complex. Being familiar with the anatomy of the anterior communicating artery complex and the perforating branches enabled neurosurgeons to handle the diseases in this area efficiently.     

树鼩(Tuapaia belangeri chinensis)的动脉

本文在对中国树鼩的动脉系作系统解剖的基础上,记述了树鼩动脉分支的主要特征。同时,还与其他有关种类作了比较研究。结果表明,中国树鼩动脉系的主要特征与树鼩科中的其他种类如笔尾树鼩、普通树鼩和地树鼩等的动脉系极为相似,而与灵长类中的猿猴类有较大差异。     

树鼩解剖数据的测定与分析

解剖数据是实验动物主要的生物学特性指标。该文对实验室驯养树鼩(7～9月龄)的体尺、骨骼、乳头、肠道及脏器重量与系数等解剖学数据进行了测定与分析。31项解剖数据测量结果显示雌、雄个体间体高、右耳宽、回肠及结肠差异显著(P<0.05),体斜长、胸深、躯干长、左右两前肢长、右后肢长、左右两侧耳长、左耳宽、龙骨长、左右两侧胫长、十二指肠及空肠长等差异极显著(P<0.01)。以体长为因变量,尾长、躯干长、左前肢长、右前肢长、左后肢长及右后肢长等为自变量作逐步回归分析,回归方程为:体长=13.90+尾长×0.16。37项脏器及系数测定结果:雌雄间比较,体重、心、肺、脾、左肾、右肾、膀胱、左海马、右海马、左颌下腺、左甲状腺、右甲状腺重量差异极显著(P<0.01)。小肠、右颌下腺、左肾上腺之间差异显著(P<0.05);心、肺、胃、膀胱、小肠、大肠、脑、右海马、左肾上腺系数雌雄间差异极显著(P<0.01)。右肾、左海马、左颌下腺、右肾上腺、左右两侧甲状腺系数之间达到了显著性水平(P<0.05)。以动物体重为因变量,以主要脏器指标:心脏、肺、肝、脾、左肾、右肾、脑为自变量,作逐步回归分析,回归方程为:体重=62.73+左肾×79.213+心脏×24.09。实验室驯养树鼩不同性别对体尺、脏器及系数、肠道等解剖数据有一定影响,为树鼩实验动物化及人类疾病动物模型研究提供基础数据。     

大脑动脉环

脑底的动脉在1542年已被瓦沙里斯(Vasalius)簡单地叙述过。但是,首先指出在脑底形成一个动脉环,且认识到后交通动脉重要性的是威廉斯(Thomas Willis),因此,大脑动脉环又称为威廉氏动脉环。此后,尤其近几十年来,各国的学者对环的組成、种系发生、个体发生直至变异和功能都作了不少研究。解放前,我国从事于这方面研究的几乎沒有,直至1955年后,方有了对国人大脑动脉环較詳尽的研究,并取得不少成就。     

自发性高血压鼠脑底动脉神经肽Y能神经纤维的起源

应用免疫组织化学ABC法和神经节切除术,观察了16只自发性高血压鼠（分手术Ⅰ、Ⅱ、Ⅲ组和对照组）脑底动脉主要分支神经肽Y能神经纤维的起源,对照组自发性高血压鼠大脑前动脉,大脑中动脉,大脑后动脉和基底动脉壁上均可见棕褐色的神经肽Y能阳性纤维,纤维似曲线状,多呈网状走行,密度较高,手术Ⅰ组作双侧颈上神经节切除术,脑底动脉主要分支的阳性纤维明显减少,但不完全消失,手术Ⅱ组作双侧星状神经节切除术,脑底动脉主要分支壁上的阳性纤维明显减少;手术Ⅲ组作双侧颈上神经节和星状神经节切除术,脑底动脉主要分支的阳性纤维完全消失,结果提示;自发性高血压鼠脑底动脉主要分支神经肽Y能神经纤维起源于双侧颈上神经节和星状神经节,讨论了NPY神经在高血压时期在防御脑中风和血脑屏障破裂方面所起的作用。     

Blood vessel size of circulus arteriosus cerebri (circle of Willis): a statistical research on 100 human subjects

The brain weight of 100 fresh cadavers of Italian subjects (60 males and 40 females), aged between 17 and 84 years, was obtained and the corrected circumference of the following blood vessels was measured: basilar artery, internal carotid arteries, anterior and posterior cerebral arteries, and anterior and posterior communicating arteries. The cerebral 'potential flow' was expressed in each case by adding the circumference of the basilar artery to that of the internal carotid arteries. Moreover, the sides and the perimeter of the circle of Willis as well as the length of the basilar artery were calculated. The statistical analysis of the obtained data yielded the following main results: (1) the brain weight decreases with aging, is lower in females than in males and and is statistically correlated neither with the circumferences of the considered arteries and the 'potential flow' nor with the perimeter of the arterial polygon (circle of Willis); (2) the arteries of the left side appear to be larger than those of the right one; (3) no significant difference exists in the circumference and length of the arteries between males and females; (4) the increase of the perimeter of the arterial polygon is achieved by means of a harmonious increase of all its sides; (5) the anterior and posterior communicating arteries have an anarchic pattern, because of the relatively frequent anomalies and the lack of a correlation between their circumference and that of the vessel of origin or of outlet.     

Modelling the circle of Willis to assess the effects of anatomical variations and occlusions on cerebral flows

Blood flow in the circle of Willis (CoW) is modelled using the 1-D equations of pressure and flow wave propagation in compliant vessels. The model starts at the left ventricle and includes the largest arteries that supply the CoW. Based on published physiological data, it is able to capture the main features of pulse wave propagation along the aorta, at the brachiocephalic bifurcation and throughout the cerebral arteries. The collateral ability of the complete CoW and its most frequent anatomical variations is studied in normal conditions and after occlusion of a carotid or vertebral artery (VA). Our results suggest that the system does not require collateral pathways through the communicating arteries to adequately perfuse the brain of normal subjects. The communicating arteries become important in cases of missing or occluded vessels, the anterior communicating artery (ACoA) being a more critical collateral pathway than the posterior communicating arteries (PCoAs) if an internal carotid artery (ICA) is occluded. Occlusions of the VAs proved to be far less critical than occlusions of the ICAs. The worst scenario in terms of reduction in the mean cerebral outflows is a CoW without the first segment of an anterior cerebral artery combined with an occlusion of the contralateral ICA. Furthermore, in patients without any severe occlusion of a carotid or VA, the direction of flow measured at the communicating arteries corresponds to the side of the CoW with an absent or occluded artery. Finally, we study the effect of partial occlusions of the communicating arteries on the cerebral flows, which again confirms that the ACoA is a more important collateral pathway than the PCoAs if an ICA is occluded.     

Effects of hypoxia on contractility of isolated fetal lamb cerebral arteries

We studied the contractile properties of isolated cerebral arteries in near term fetal lambs, as well as the magnitudes and rates of relaxation during moderate hypoxia. Paired 5-mm segments of basilar, middle cerebral, posterior communicating, and common carotid arteries were suspended in a temperature controlled bath and isometric tension measured during 122 mM K(+)-induced contractions. In one vessel of each pair hypoxia was imposed by switching the bubbling gas from 95% O2 + 5% CO2 to 95% N2 + 5% CO2 4 minutes into a K+ contraction, thus lowering the bath PO2 to approximately 15 Torr. After 15 min exposure to hypoxia the middle cerebral artery had relaxed 61%, the posterior communicating 46%, the basilar 44%, and the common carotid only 18% compared to normoxic controls. All cerebral arteries relaxed relatively rapidly (relaxation rates of 42-45 x 10(-4) s-1), whereas the common carotid relaxed slowly (20 x 10(-4) sec-1). The data indicate that these cerebral arteries play an important role in regulating blood flow responses during hypoxemia in intact fetuses.     

Hemodynamic role of the circle of Willis in stenoses of internal carotid arteries. An analytical solution of a linear model

A mathematical model of blood flow through the circle of Willis was developed, within a linear framework. Comprehensive analytical solutions, including a remarkably small number of parameters, were derived in the cases of obstructive lesions of extracranial carotid arteries. The influence of these lesions and the role of anterior and posterior communicating arteries on the blood pressure at the entry of the cerebral territories were quantified and analyzed emphasizing that the responses of the system of Willis to obstructive carotid lesions are extremely varied, depending on the communicating artery anatomy. Comparison with numerical results obtained by using a non-linear model showed no physiologically significant differences. Such a model might be an essential tool for an accurate assessment of the cerebral hemodynamics in carotid diseases.     

Age-dependent increase of magnesium in the cerebral arteries of Thai

To elucidate compositional changes of the cerebral arteries with aging, the authors investigated age-related changes of elements in the cerebral arteries by inductively coupled plasma-atomic emission spectrometry (ICP-AES). After an ordinary dissection by medical students at Chiang Mai University was finished, the anterior, middle, and posterior cerebral arteries and the anterior and posterior communicating arteries were resected from the subjects. The subjects consisted of six men and seven women, ranging in age from 34 to 86 yr. The element content was determined by ICP-AES. It was found that the Mg content increased progressively with aging in all of the anterior, middle, and posterior cerebral arteries, but the Ca and P content did not increase significantly with aging in the anterior, middle, and posterior cerebral arteries, with the one exception being that the P content increased significantly in the posterior cerebral arteries with aging. The average content of Ca was higher in the order of the anterior communicating, anterior cerebral, posterior communicating, posterior cerebral, and middle cerebral arteries.     

金钱豹和猪獾冠状动脉的解剖

为了阐明金钱豹(Panthera pardus)和猪獾(Arctonyx collaris)心冠状动脉的分支分布特征及血供情况,为心脏生物学及动物学研究提供结构基础资料,利用血管铸型和组织透明方法观察研究了金钱豹与猪獾心左、右冠状动脉的分支分布.结果表明,金钱豹和猪獾的心均由左右冠状动脉营养.金钱豹左冠状动脉分为室间隔支、前降支和旋支.前降支又分出左室上支、左室中支和左室下支.右冠状动脉沿途分出右室前支、右室后下支和右室后上支.猪獾左冠状动脉分为前降支和旋支.前降支又分出室间隔支和左室前支,旋支又分出左缘支和左室后支.其右冠状动脉沿途分出右室前支、右缘支和右室后支.金钱豹和猪獾心的室间隔均由发自左冠状动脉的独立的室间隔支营养,二者左右冠状动脉在膈壁的分布属于均衡型.     

Structure and sympathetic innervation of the intracranial arteries in the giraffe (Giraffa camelopardalis)

Fluorescence histochemistry discloses that the carotid rete mirabile in the giraffe has a poor sympathetic innervation. In contrast, the efferent artery of the rete (internal carotid artery) and the cerebral arteries show moderate sympathetic innervation. A certain degree of regional variability was noted in which the rostral arteries (anterior and middle cerebral) receive more sympathetic nerves than the caudal (posterior communicating and basilar) arteries. The sympathetic nerves on the giraffe cerebral vessels may constitute part of a host of mechanisms by which regional blood flow to the brain is regulated. Conversely, the paucity of sympathetic innervation of the carotid rete mirabile may indicate that this structure does not play an active role in vasoconstrictor responses during postural changes of the head.