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下肢主要静脉的应用解剖及其临床意义

Applied anatomy and clinical significance of the chief venous in the lower extremity

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【作者】 霍芊竹代远斌黄淑君

【Author】 HUO Qian-zhu,et al(Department of Vascular Surgery,the First Affiliated Hospital,Chongqing Medical University)

【机构】 重庆医科大学附属第一医院血管外科

【摘要】 目的:通过对150例成年尸体下肢主要静脉的解剖观察,为临床上有关下肢静脉的手术、操作等提供解剖形态学参考。方法:在150侧成人下肢中,观察、测量大隐静脉、股静脉和腘静脉的长度、特别点外径以及静脉瓣膜数量和形状等指标,并进行综合分析。结果:大隐静脉、股静脉和腘静脉的长度各为(71.32±0.98)cm、(29.69±0.57)cm、(13.49±2.01)cm;大隐静脉起点、平股骨内侧髁上缘平面及终点外径各为(1.12±0.49)cm,(1.57±0.42)cm,(2.03±0.66)cm;股静脉起点、股三角尖处及终点外径各为(1.62±0.49)cm,(1.77±0.42)cm,(2.03±0.66)cm;腘静脉起点、中点及终点外径各为(1.55±0.51)cm,(1.59±0.37)cm,(1.62±0.49)cm;静脉瓣膜以双瓣型多见,瓣膜分布越向远侧越多。结论:以上对下肢静脉的观测结果,为临床有关下肢静脉的手术、操作提供了较为系统、全面的解剖学基础。

【Abstract】 Objective: Anatomic observation was performed on 150 sides of adult cadavers to provide anatomic reference about the veins of the lower extremity.Methods:On 150 sides of adult cadavers,the following indexes are observed and measured: the length of great saphenous vein,femoral vein and popliteal vein;the external diameter of some special points,the quantity and shape of the venous valve.Furthermore,these data were aggregate analyzed.Results:The length of great saphenous vein,femoral vein and popliteal vein is(71.32± 0.98)cm,(29.69±0.57)cm,(13.49±2.01)cm respectively;the external diameter at the starting point of great saphenous vein is(1.12 ±0.49)cm,in the plane of condylus medialis femoris is(1.57±0.42)cm and at the ending point of great saphenous vein is(2.03±0.66)cm;the external diameter of the starting point,the tip of the femoral triangle and the ending point of femoral vein is(1.62±0.49)cm,(1.77±0.42)cm,(2.03 ± 0.66)cm respectively;the external diameter of the starting point,midpoint and ending point of popliteal vein is(1.55±0.51)cm,(1.59±0.37)cm,(1.62±0.49)cm respectively;most of venous valve is bivalve,and there is much more valve in the distal veins.Conclusion:Data of this study based on applied anatomy are provided systematic and detailed basis to those operations on the legs.

【关键词】 大隐静脉股静脉腘静脉解剖
【Key words】 Great saphenous veinFemoral veinPopliteal veinAnatomy
  • 【文献出处】 重庆医科大学学报 ,Journal of Chongqing Medical University , 编辑部邮箱 ,2009年10期
  • 【分类号】R322.123
  • 【被引频次】21
  • 【下载频次】356
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