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[下腔静脉属支的外科解剖学]

[SURGICAL ANATOMY OF THE TRIBUTARIES OF INFERIOR VENA CAVA].

作者信息

Rusin V I, Korsak V V, Boyko S O, Popovich Ya M

出版信息

Klin Khir. 2016(7):24-6.

Abstract

The results of the anatomical study of the inferior vena cava (IVC) and its tributaries on 27 fresh cadavers were analysed. It was established that in past hepatic part of IVC fall from 7 to 23 veins. The diameter of the main hepatic veins on average 12.3 mm, and back — 4.8 mm. In 63% of cases between the main and back hepatic veins have a free box of length 10 — 18 mm. Lumbar vein 2 — 8 pairs of branches in 92.6% of cases merge and flow into the IVC by one trunk, often closer to her left hemi circle. The diameter of the joint lumbar vein average 5.2 mm. Upper joint lumbar vein falls into the IVC at a distance of 13 — 23 mm from the confluence of the right renal vein. Back hepatic and joint lumbar vein may be a source of intraoperative bleeding, that is difficult to control. Identified anatomical features tributaries of IVC below the diaphragm should be borne in mind when removing blood clots from the IVC.

摘要

对27具新鲜尸体的下腔静脉(IVC)及其属支进行了解剖学研究,并对结果进行了分析。结果表明,在下腔静脉的肝后段有7至23条静脉汇入。肝主静脉的直径平均为12.3毫米,肝副静脉的直径平均为4.8毫米。在63%的病例中,肝主静脉和肝副静脉之间有一段长度为10至18毫米的无血管间隙。腰静脉2至8对分支在92.6%的病例中汇合后经一条主干汇入下腔静脉,且通常更靠近下腔静脉的左半圈。汇合后的腰静脉直径平均为5.2毫米。上汇合腰静脉在距右肾静脉汇合处13至23毫米处汇入下腔静脉。肝副静脉和汇合腰静脉可能是术中难以控制的出血来源。在清除下腔静脉内血栓时,应牢记所发现的膈下下腔静脉属支的解剖学特征。

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