Ortega Santana F, Guijarro de Pablos J, Anitúa Solano M, Centol Ramírez A, López Calbet J A, González Sequeros O
Departamento de Morfología, Universidad de Las Palmas de Gran Canaria, España.
Angiologia. 1991 Jan-Feb;43(1):30-40.
An historical review of the evolution in the venous system study up to the time when venous system function was appropriately understood, is presented. Also, by standard dissection technics, different morphologic features of Magna saphenous vein (origin, trajectory and termination) are reviewed and concrete reference places are proposed in order to localize the Magna saphenous vein at ankle or inguinal level, places were the named vein is frequently aborted for surgical canalization or stripping procedures. Finally, the study of internal saphenous collaterals allowed to know about two undescribed vessels located in the lower limb (venous lateral arch and subperiosteal branch), vessels with a physiopathological relevance since Perforans veins drain to them and, in case of insufficiency, the risk of a varicose syndrome at their areas will be high.
本文对静脉系统研究的演变进行了历史回顾,直至对静脉系统功能有了恰当理解之时。此外,通过标准解剖技术,回顾了大隐静脉的不同形态特征(起源、走行和终止),并提出了具体的参考位置,以便在脚踝或腹股沟水平定位大隐静脉,这些位置是该命名静脉在进行手术插管或剥脱术时经常缺失的部位。最后,对隐静脉属支的研究发现了下肢两条未被描述的血管(静脉外侧弓和骨膜下分支),由于穿静脉引流至这些血管,且在功能不全的情况下,其区域发生静脉曲张综合征的风险较高,因此这些血管具有生理病理学意义。