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一具尸体中的左侧奇静脉:解剖学与手术学考量

A Left-sided Azygos Vein in a Cadaver: Anatomical and Surgical Considerations.

作者信息

Koutsouflianiotis Konstantinos, Paraskevas George K, Iliou Kalliopi, Noussios George

机构信息

Department of Anatomy and Surgical Anatomy, Aristotle University of Thessaloniki.

出版信息

Cureus. 2018 May 10;10(5):e2610. doi: 10.7759/cureus.2610.

DOI:10.7759/cureus.2610
PMID:30013874
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6039216/
Abstract

Despite the wide-spread knowledge among anatomists and surgeons that the azygos vein lies on the right side of the vertebral column, various scientific works have been conducted which suggest the existence of left-sided azygos veins. The displacement of the vessel seems to be related with aging, due to crossover veins and the development of osteophytes on the thoracic vertebrae. The current case report confirms the variation of the azygos vein's course, highlights the awareness of the relatively unusual left-sided location of the azygos vein for the surgeon of the region, and underlines the clinical significance of such knowledge to the modern internist-radiologist, general surgeon and thoracic surgeon, as well.

摘要

尽管解剖学家和外科医生普遍知晓奇静脉位于脊柱右侧,但仍有各种科学研究表明存在左侧奇静脉。由于交叉静脉和胸椎骨赘的形成,该血管的移位似乎与衰老有关。本病例报告证实了奇静脉走行的变异,强调了该区域外科医生对奇静脉相对不寻常的左侧位置的认识,并强调了这种知识对现代内科医生 - 放射科医生、普通外科医生和胸外科医生的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c84/6039216/40c1557b2216/cureus-0010-00000002610-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c84/6039216/1afdf91063f3/cureus-0010-00000002610-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c84/6039216/40c1557b2216/cureus-0010-00000002610-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c84/6039216/1afdf91063f3/cureus-0010-00000002610-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c84/6039216/40c1557b2216/cureus-0010-00000002610-i02.jpg

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引用本文的文献

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An In-Depth Review of the Azygos Vein and Its Clinical Significance.奇静脉及其临床意义的深入综述。
Biomedicines. 2025 Apr 22;13(5):1013. doi: 10.3390/biomedicines13051013.
2
What is the history of the term "azygos vein" in the anatomical terminology?解剖学术语中“奇静脉”一词的历史是怎样的?
Surg Radiol Anat. 2019 Oct;41(10):1155-1162. doi: 10.1007/s00276-019-02238-3. Epub 2019 Apr 26.

本文引用的文献

1
The impact of aging on the course of the azygos vein.衰老对奇静脉走行的影响。
Okajimas Folia Anat Jpn. 2015;92(1):7-10. doi: 10.2535/ofaj.92.7.
2
A semi-quantitative approach to variation of the azygos vein course.奇静脉走行变异的半定量研究方法。
Clin Anat. 2014 Oct;27(7):1030-7. doi: 10.1002/ca.22346. Epub 2014 Jan 17.
3
Anatomy of the azygos vein examined by computerized tomography imaging.通过计算机断层扫描成像检查奇静脉的解剖结构。
Saudi Med J. 2008 Nov;29(11):1585-8.
4
Variability of the azygos vein system in human foetuses.
Folia Morphol (Warsz). 2003 Nov;62(4):427-30.
5
Anatomical observations on the course of the azygos vein (vena azygos major).奇静脉(大奇静脉)走行的解剖学观察。
Thorax. 1960 Sep;15(3):229-32. doi: 10.1136/thx.15.3.229.