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关于额外的大隐静脉前支的发生及解剖的下肢血管系统超声图谱

[Ultrasound mapping of lower-limb vascular system with regard to occurrence and anatomy of additional front great saphenous vein].

作者信息

Musil D, Herman J

机构信息

Nestátní interni a cévní ambulance, II. poliklinika, Olomouc.

出版信息

Vnitr Lek. 2006 Dec;52(12):1150-5.

Abstract

A primary survey study involving a set of 113 lower limbs of 66 patients was focused on the prevalence of additional front great saphenous vein (AFGSV) and the measurement of the distance between its start in the great saphenous vein (GSV) and the saphenofemoral junction (SFJ), the measurement of the distance between the passage of AFGSV through the saphenous fascia and its start in GSV, and compared the width of AFGSV anechogenous lumen with the calibre of GSV. The prevalence of AFGSV in the observed set was 42.5%. Reflux was proved in 6 AFGSVs (12.5%). The width of the AFGSV anechogenous lumen was on an average 0.29 cm (M 0.26 cm, SD +/- 0.15 cm), and the width of GSV anechogenous lumen measured on lower limbs with simultaneous occurrence of AFGSV was 0.38 cm (M 0.38 cm, SD +/- 0.11 cm) on an average. Comparison of the anechogenous lumen width of the two veins showed a statistically significant difference (p < 0,001). AFGSV in the observed set of lower limbs started in VS at an average distance of 0.8 cm from the saphenofemoral junction (M 0.8 cm, SD +/- 0.46 cm). The minimum start point distance was 0.1 cm, the maximum was 1.84 cm. In 3 cases (6.3%), AFGSV started directly in the common femoral vein (v. femoralis communis), which was the place where also the saphenous vein begins. The distance between the passage of AFGSV through saphenous fascia to upper subcutaneous layers and the start of the vein in GSV was on an average 13.2 cm (M 14.5 cm, SD +/- 6.5 cm). The maximum distance between the passage of AFGSV through saphenous fascia and the start of the vein in GSV was 4 cm, the maximum distance being 30 cm.

摘要

一项针对66例患者的113条下肢的初步调查研究,重点关注额外的大隐静脉前支(AFGSV)的患病率,以及其在大隐静脉(GSV)中的起始点与隐股静脉交界处(SFJ)之间的距离测量,AFGSV穿过隐静脉筋膜处与其在GSV中的起始点之间的距离测量,并比较AFGSV无回声管腔的宽度与GSV的管径。在所观察的样本中,AFGSV的患病率为42.5%。在6条AFGSV中证实存在反流(12.5%)。AFGSV无回声管腔的平均宽度为0.29 cm(中位数0.26 cm,标准差±0.15 cm),在同时存在AFGSV的下肢上测量的GSV无回声管腔的平均宽度为0.38 cm(中位数0.38 cm,标准差±0.11 cm)。两条静脉无回声管腔宽度的比较显示出统计学上的显著差异(p < 0.001)。在所观察的下肢样本中,AFGSV在VS中的起始点距离隐股静脉交界处的平均距离为0.8 cm(中位数0.8 cm,标准差±0.46 cm)。最小起始点距离为0.1 cm,最大为1.84 cm。在3例(6.3%)中,AFGSV直接起始于股总静脉(股静脉),这也是大隐静脉起始的位置。AFGSV穿过隐静脉筋膜进入上皮下层处与其在GSV中的起始点之间的平均距离为13.2 cm(中位数14.5 cm,标准差±6.5 cm)。AFGSV穿过隐静脉筋膜处与其在GSV中的起始点之间的最大距离为4 cm,最大距离为30 cm。

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