Karazincir Sinem, Akoğlu Ertap, Balci Ali, Sangün Ozlem, Okuyucu Semsettin, Ozbakiş Cağla, Karazincir Olgun
Mustafa Kemal University, Faculty of Medicine, Department of Radiology, Turkey.
Int J Pediatr Otorhinolaryngol. 2007 Aug;71(8):1247-50. doi: 10.1016/j.ijporl.2007.04.016. Epub 2007 May 30.
We aimed to establish the values of the internal jugular vein (IJV) sizes in Turkish children aged between 0 and 6 years.
Ninety-four normal children included in this study. All of the children were imaged by ultrasonography (USG) at the level of the cricoid cartilage. The maximal antero-posterior (AP) and transverse (T) diameters of the IJV were measured during regular breathing and Valsalva maneuver.
The mean transverse diameter of the right and left IJV were 8.11+/-3.01 and 7.64+/-2.68 mm in resting state. These values changed to 12.57+/-4.34 and 10.82+/-3.80 mm in Valsalva state, respectively. The AP diameters were found to be 5.43+/-2.07 for the right and 5.86+/-4.53 mm for the left IJV at rest. During VM, these values changed to 8.70+/-2.40 and 8.30+/-2.90 mm for the right and left IJV, respectively. There was no significant difference on the evaluation of the relationship between the right and left diameters of the IJV. While there were significant differences in sizes between the resting and Valsalva states. Also, the T diameter of the right IJV during Valsalva state was greater than those of the left. There were significant correlations between the diameters of the IJV and the age, weight and height of the children.
The results we obtained in this study may be important in an attempt of intravascular intervention to IJV. These values may also be important for the comparison with the IJV sizes of the patients who have phlebectasia.
我们旨在确定0至6岁土耳其儿童颈内静脉(IJV)的尺寸值。
本研究纳入了94名正常儿童。所有儿童均在环状软骨水平接受超声检查(USG)。在静息呼吸和瓦尔萨尔瓦动作期间测量IJV的最大前后径(AP)和横径(T)。
静息状态下,右侧和左侧IJV的平均横径分别为8.11±3.01毫米和7.64±2.68毫米。在瓦尔萨尔瓦状态下,这些值分别变为12.57±4.34毫米和10.82±3.80毫米。静息时,右侧IJV的AP直径为5.43±2.07毫米,左侧为5.86±4.53毫米。在瓦尔萨尔瓦动作期间,右侧和左侧IJV的这些值分别变为8.70±2.40毫米和8.30±2.90毫米。IJV左右径之间关系的评估无显著差异。静息状态和瓦尔萨尔瓦状态之间的尺寸存在显著差异。此外,瓦尔萨尔瓦状态下右侧IJV的T直径大于左侧。IJV直径与儿童的年龄、体重和身高之间存在显著相关性。
我们在本研究中获得的结果对于尝试对IJV进行血管内干预可能具有重要意义。这些值对于与患有静脉扩张的患者的IJV尺寸进行比较也可能很重要。