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比目鱼肌静脉:解剖学基础及其在下肢深静脉血栓形成中的作用

[Soleus veins: anatomic basis and their role in the origin of deep venous lower limb thrombosis].

作者信息

Sequeira Carlos Miguel Gomes, Juliano Yara, Novo Neil Ferreira, Mayall Rubens Carlos, Miranda Fausto

机构信息

Faculdade de Medicina, Universidade Federal do Rio de Janeiro.

出版信息

Rev Assoc Med Bras (1992). 2007 Jul-Aug;53(4):305-10. doi: 10.1590/s0104-42302007000400014.

DOI:10.1590/s0104-42302007000400014
PMID:17823732
Abstract

OBJECTIVE

Study of the number, sectorization and termination of the soleus veins.

METHODS

Meticulous, stratigraphical, anatomical dissections were carried out in the posterior crural region of 100 legs of 50 fresh cadavers. Those belonging to subjects with congenital or acquired pathologies in the lower limbs were disregarded. After the skin was reflected on both sides, dissection of superficial and perforating veins, was performed. Then reflection of the subcutaneous tissue and fascia, detachment and reflection of the gastrocnemius and plantaris muscles, detachment of the tibial origin of the soleus muscle, differentiation of the soleus veins and study of morphometric parameters were carried out. The region was divided into six sectors: superior-medial, superior-lateral, medio-medial, medio-lateral, inferior-medial and inferior-lateral. Data obtained from Wilcoxon and Friedman nonparametric tests were utilized for statistical analysis.

RESULTS

In the dissected legs 4679 soleus veins were found. The sector with the greatest number of soleus veins was the superior-lateral (1529 veins - 32.7%), followed by the mediomedial (1.256 veins - 26.8%) and the mediolateral sectors (975 veins - 20.8%). The extremities drained into communicant veins (1.207 veins - 25.8%), posterior tibial veins (964 veins - 20.6%), peroneal veins (709 veins - 15.2%) and into 32 other types (1.799 veins 38.4%).

CONCLUSION

The venous drainage of the soleus muscle is carried out by a great number of soleus veins which are frequently located in the superior-lateral, mediomedial and mediolateral sectors, more often going into the posterior tibial, peroneal and communicant veins.

摘要

目的

研究比目鱼肌静脉的数量、分区及终止情况。

方法

对50具新鲜尸体的100条下肢小腿后部区域进行细致的分层解剖。排除下肢有先天性或后天性病变的尸体。在双侧皮肤翻开后,解剖浅静脉和穿静脉。然后翻开皮下组织和筋膜,分离并翻开腓肠肌和跖肌,分离比目鱼肌的胫骨起点,区分比目鱼肌静脉并研究形态学参数。该区域分为六个区:上内侧、上外侧、中内侧、中外侧、下内侧和下外侧。采用Wilcoxon和Friedman非参数检验获得的数据进行统计分析。

结果

在解剖的下肢中发现4679条比目鱼肌静脉。比目鱼肌静脉数量最多的区是上外侧(1529条静脉 - 32.7%),其次是中内侧(1256条静脉 - 26.8%)和中外侧区(975条静脉 - 20.8%)。这些静脉末端汇入交通静脉(1207条静脉 - 25.8%)、胫后静脉(964条静脉 - 20.6%)、腓静脉(709条静脉 - 15.2%)以及其他32种类型(1799条静脉 - 38.4%)。

结论

比目鱼肌的静脉引流由大量比目鱼肌静脉完成,这些静脉常位于上外侧、中内侧和中外侧区,更常汇入胫后静脉、腓静脉和交通静脉。

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