AN ANALYSIS OF THE VARIATIONS OF THE BRONCHOVASCULAR PATTERNS OF THE LEFT UPPER LOBE IN FIFTY CHINESE LUNGS
- VernacularTitle:中国人肺的支气管和血管 四、左肺上叶的支气管和血管
- Author:
Shinchen CHUNG
;
Gwangtsi HO
;
Eryu CHEN
;
Chengtsin LIU
;
Suchen CHANG
- Publication Type:Journal Article
- From:
Acta Anatomica Sinica
1954;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
The origin,arrangement and distribution of the segmental bronchi,arteries and veins of the left upper lobe of lungs have been studied in 50 adult cadavers. The prevailing picture of the bronchi,seen in 96% of the specimens,is the bifurcated type.The superior trunks of the left upper bronchi are mostly found to be divided into an apico-posterior and an anterior segmental bronchi.The patterns of the apico-posterior segmental bronchi,seen in 68% of the specimens,are found to be B~(1+3)a and B~(1+3)b. Many of the anterior segmental bronchi,occuried in about 48%,are usually found to be splitted;and these splittings look much like to be the results of shifting of B~2a.How- ever little variations are found in the lingular trunk and its two segments. The arteries supplying the left upper lobe vary in numbers from 2 to 6;but mostly 3 or 4 branches are seen and this occurs in about 82%.The first branch of them usually goes to the anterior segment,but sometimes it may go to both the anterior and the apico-posterior segments (all together in 76%).Nearly 60% of arteries supplying the anterior segment arise from the anterior part,and about 40% of them from both the anterior and the posterior parts.The majority of arteries,nearly 80%,supplying the lingular segment,arises from the posterior part;10% from the anterior;and another 10% from both the anterior and posterior parts.The level of origin of these lingular segmental arteries is usually lower than or the same as that of the apical segmental ar- teries.All together,80% are found.A great number of arteries passing through the different segments in the left upper lobe have also been recognized in 94% of the cadavers. The veins draining from the left upper lobe usually form 3 trunks,occuring in about 60%.The common picture of the apico-posterior segmental veins are found be- longing to type Ⅱ(48%). In short,many variations are found in the arteries,less so in the veins and only a few in the bronchi of the left upper lobe.As to the number,arrangement,and more distributions of the branches of the arteries,veins and bronchi,variations are seen in the apico-posterior segment,less in the anterior segment and few in the lingular seg- ment.
