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本文在解剖镜(16×~60×)下解剖观察了50侧成人鼻中隔的动脉,其血供属多源性,主要来自鼻后中隔动脉、筛前、后动脉,各动脉间有丰富的吻合支。无论是鼻中隔的血供或黎氏区动脉丛的组成,都以鼻后中隔动脉为主要来源,筛动脉次之。根据解剖所见,在处理鼻中隔严重鼻(血刃)需作动脉结扎时,建议首选位于蝶窦口前下部粘膜下的鼻后中隔动脉主干进行结扎,具有创伤小、止血快、涉及范围小、术后无并发症等优点。
This article anatomical mirror (16 × ~ 60 ×) anatomized 50 adult nasal septum artery, the blood supply is multi-source, mainly from the posterior septal artery, anterograde, posterior arteries, the arteries are rich Anastomosis sticks. Whether it is nasal septum blood supply or Li’s arterial plexus composition, to the nasal septum artery as the main source, followed by the sieve artery. According to the anatomy of the view, in the treatment of severe nasal septum (blood blade) for arterial ligation, it is recommended first choice in the lower part of the sphenoid sinus mucosa of the nasal septum artery ligation, with trauma, fast bleeding, involving a small range No postoperative complications.