Staubesand J, Hackländer A
Anatomisches Institut, Albert-Ludwigs-Universität, Freiburg, Germany.
Clin Anat. 1995;8(6):399-402. doi: 10.1002/ca.980080605.
A macroscopic anatomical investigation was carried out on 67 embalmed dissecting-room legs in order to determine the position, course, and origin of so-called Cockett's perforating veins. This information was considered to be of particular importance because of the frequency with which varicoses in this region are treated with sclerosing agents and the serious adverse effects that can follow a misplaced injection. In view of the almost universal credence given to the accuracy of Cockett's original description (Cockett FP, 1955, Br. J. Surg. 43:260-278), and the general acceptance of the constancy of "Cockett's veins," it was felt to be of importance to see to what extent we could confirm this description. It was found that the origins of these vessels and the places at which they penetrate the deep fascia are not constant, and that--in our series--only 7.3% of the veins belonging to these groups occupy the positions that are repeatedly cited in the literature as the most common. The clinical importance of any discrepancy between expectation and reality can hardly be exaggerated.
为了确定所谓的科克特穿静脉的位置、走行及起源，对67条防腐处理的解剖室下肢进行了大体解剖学研究。鉴于该区域静脉曲张常用硬化剂治疗，且注射位置不当可能产生严重不良反应，这些信息被认为尤为重要。鉴于人们几乎普遍相信科克特最初描述的准确性（科克特FP，1955年，《英国外科学杂志》43:260 - 278），以及“科克特静脉”恒定存在这一观点被普遍接受，因此有必要看看我们能在多大程度上证实这一描述。结果发现，这些血管的起源及其穿透深筋膜的位置并非恒定不变，而且在我们的研究系列中，属于这些组别的静脉只有7.3%位于文献中反复提及的最常见位置。预期与现实之间的任何差异所具有的临床重要性再怎么强调也不为过。
