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股动脉和股静脉的分析:解剖形态学、血管关系和影响血管大小的因素。

Analysis of the Common Femoral Artery and Vein: Anatomical Morphology, Vessel Relationship, and Factors Affecting Vessel Size.

机构信息

Department of Emergency Medicine, Dongsan Medical Center, Keimyung University School of Medicine, 1035, Dalgubeol-daero Dalseo-gu, Daegu 42601, Korea.

Department of Anatomy, Keimyung University School of Medicine, 1035, Dalgubeol-daero Dalseo-gu, Daegu 42601, Korea.

出版信息

Medicina (Kaunas). 2022 Feb 21;58(2):325. doi: 10.3390/medicina58020325.

DOI:10.3390/medicina58020325
PMID:35208648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8876717/
Abstract

: We aimed to analyze the morphology of the common femoral artery (CFA) and common femoral vein (CFV) and the anatomical relationship between the two blood vessels, and to investigate the factors that influence the size of these blood vessels. : This retrospective study included 584 patients who underwent abdominal and pelvic computed tomography from 1 February to 28 February 2021. We measured the vessels at three regions on both lower extremities (inguinal ligament, distal vessel bifurcation, midpoint) and analyzed and classified the degree of overlap between the CFA and CFV into three types, as well as the factors affecting vessel size. : After comparing the femoral vessels according to location, it was confirmed that the CFA and CFV were larger distally than proximally on both sides ( < 0.001). The degree of overlap increased distally ( < 0.001) but was less at the middle ( < 0.001) and distal ( = 0.011) regions on the right side. It was found that the size of CFA and CFV were related to age, sex, and body mass index (BMI) and that malignancy also affects the CFA size. : The morphology of the CFA and CFV was conical and increased distally. The degree of overlap between the two blood vessels also increased distally but was less on the right than on the left. Age, sex, and BMI are significant factors affecting the sizes of the CFA and CFV, and malignancy is associated with the CFA size.

摘要

我们旨在分析股总动脉(CFA)和股总静脉(CFV)的形态以及两者之间的解剖关系,并探讨影响这些血管大小的因素。

这项回顾性研究纳入了 2021 年 2 月 1 日至 2 月 28 日期间接受腹部和盆腔计算机断层扫描的 584 名患者。我们在下肢的三个部位(腹股沟韧带、血管分叉远端、中点)测量了血管,并分析和分类了 CFA 和 CFV 之间的重叠程度,分为三种类型,并分析了影响血管大小的因素。

根据位置比较股血管后,确认 CFA 和 CFV 在两侧均远端大于近端(<0.001)。重叠程度在远端增加(<0.001),但在右侧中部(<0.001)和远端(=0.011)较少。发现 CFA 和 CFV 的大小与年龄、性别和体重指数(BMI)有关,恶性肿瘤也影响 CFA 的大小。

CFA 和 CFV 的形态呈圆锥形,远端逐渐增大。两者之间的重叠程度也随远端而增加,但右侧比左侧小。年龄、性别和 BMI 是影响 CFA 和 CFV 大小的重要因素,恶性肿瘤与 CFA 大小有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e7/8876717/97c3a677cfec/medicina-58-00325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e7/8876717/be279621095b/medicina-58-00325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e7/8876717/97c3a677cfec/medicina-58-00325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e7/8876717/be279621095b/medicina-58-00325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e7/8876717/97c3a677cfec/medicina-58-00325-g002.jpg

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Anatomical Morphology Analysis of Internal Jugular Veins and Factors Affecting Internal Jugular Vein Size.颈内静脉的解剖形态学分析及影响颈内静脉大小的因素。
Medicina (Kaunas). 2020 Mar 18;56(3):135. doi: 10.3390/medicina56030135.
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Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations.超声引导下的中心静脉置管:当前证据和临床建议。
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Position of draining venous cannula in extracorporeal membrane oxygenation for respiratory and respiratory/circulatory support in adult patients.体外膜肺氧合中用于成人呼吸和呼吸/循环支持的静脉引流管位置。
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