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颈内静脉重复畸形:7例病例系列及文献综述

Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature.

作者信息

Shukla Indu, Agarwal Ashish, Changanath Kader Rimsha

机构信息

Department of ENT, ABVIMS & Dr RML Hospital New Delhi-110001India.

出版信息

Iran J Otorhinolaryngol. 2025;37(2):91-94. doi: 10.22038/ijorl.2024.82759.3789.

DOI:10.22038/ijorl.2024.82759.3789
PMID:40162378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11949435/
Abstract

INTRODUCTION

Internal Jugular Vein (IJV) is an important landmark for Head and Neck surgeons during oncological clearance of disease from neck and microvascular reconstruction as well as for the intensivist during central line insertion. Detailed knowledge of the IJV anatomy and its variations is important to avert any catastrophic complications during surgery.

MATERIALS AND METHODS

Data of 350 patients was recorded prospectively and analysed over a period of two years and presence of IJV duplication was documented as percentages

RESULTS

A total of 350 patients with diagnosed oral cavity carcinoma were included who underwent neck dissection out of which seven patients were identified with Internal Jugular Vein duplication making it an institutional clinical prevalence of around 2%.

CONCLUSION

IJV duplication is inadvertently found intra operatively on maximum number of occasions therefore to avoid the risk of iatrogenic injury and undesired complications, preoperative imaging should be carefully assessed while planning the patient for surgery.

摘要

引言

颈内静脉(IJV)是头颈外科医生在颈部肿瘤清除和微血管重建手术中的重要标志,也是重症监护医生在插入中心静脉导管时的重要标志。详细了解颈内静脉的解剖结构及其变异对于避免手术期间的任何灾难性并发症至关重要。

材料与方法

前瞻性记录350例患者的数据,并在两年时间内进行分析,颈内静脉重复的情况以百分比记录。

结果

总共纳入了350例经诊断患有口腔癌并接受颈部清扫术的患者,其中7例被发现有颈内静脉重复,这使其在本机构的临床患病率约为2%。

结论

颈内静脉重复在大多数情况下是在手术中无意中发现的,因此为避免医源性损伤和不良并发症的风险,在为患者制定手术计划时应仔细评估术前影像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11949435/00715fcff40d/ijo-37-94-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11949435/9325b49cb013/ijo-37-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11949435/8c0e6dc70009/ijo-37-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11949435/00715fcff40d/ijo-37-94-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11949435/9325b49cb013/ijo-37-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11949435/8c0e6dc70009/ijo-37-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11949435/00715fcff40d/ijo-37-94-g003.jpg

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本文引用的文献

1
Anatomical variations in the course of spinal accessory nerve in the neck triangles: A descriptive study.颈部三角区副神经行程中的解剖变异:一项描述性研究。
Morphologie. 2024 Jun;108(361):100761. doi: 10.1016/j.morpho.2023.100761. Epub 2024 Feb 13.
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Internal jugular vein duplication: clinical significance for head and neck cancer ablative and reconstructive surgery.颈内静脉重复畸形:对头颈部癌症消融及重建手术的临床意义
J Surg Case Rep. 2021 Jul 10;2021(7):rjab300. doi: 10.1093/jscr/rjab300. eCollection 2021 Jul.
3
Duplication of the internal jugular vein: a rare presentation during neck dissection.
颈内静脉重复畸形:颈部解剖术中的罕见表现。
BMJ Case Rep. 2021 Feb 18;14(2):e239007. doi: 10.1136/bcr-2020-239007.
4
Internal Jugular Vein Fenestration and Duplication: Anatomical Findings, Prevalence, and Literature Review.颈内静脉开窗与重复畸形:解剖学发现、患病率及文献综述
Front Surg. 2020 Nov 13;7:593367. doi: 10.3389/fsurg.2020.593367. eCollection 2020.
5
Surgical review of the anatomical variations of the internal jugular vein: an update for head and neck surgeons.颈内静脉解剖变异的外科手术回顾:头颈外科医生的最新资料
Ann R Coll Surg Engl. 2019 Jan;101(1):2-6. doi: 10.1308/rcsann.2018.0185. Epub 2018 Oct 16.
6
Bifurcation of external jugular vein: an anatomical variation during neck dissection.颈外静脉分叉:颈部解剖过程中的一种解剖变异。
Oral Maxillofac Surg. 2018 Dec;22(4):475-476. doi: 10.1007/s10006-018-0717-7. Epub 2018 Aug 30.
7
Internal Jugular Vein Duplication: Review and Classification.颈内静脉重复畸形:综述与分类
Indian J Surg Oncol. 2017 Jun;8(2):222-226. doi: 10.1007/s13193-015-0452-6. Epub 2015 Sep 24.
8
Internal jugular vein duplication and fenestration: Case series and literature review.颈内静脉重复与开窗:病例系列及文献综述
Laryngoscope. 2016 Jul;126(7):1585-8. doi: 10.1002/lary.25743. Epub 2015 Oct 26.
9
Fenestrated internal jugular vein: a rare finding in neck dissection.有孔的颈内静脉:颈部清扫术中的罕见发现。
Int J Oral Maxillofac Surg. 2015 Sep;44(9):1086-7. doi: 10.1016/j.ijom.2015.05.014. Epub 2015 Jun 10.
10
Four cases of spinal accessory nerve passing through the fenestrated internal jugular vein.4例副神经穿经有孔的颈内静脉。
Surg Radiol Anat. 2012 May;34(4):373-5. doi: 10.1007/s00276-011-0875-x. Epub 2011 Sep 22.