【摘 要】 目的 探討股靜脈作為血管移植材料的可行性與安全性。 方法 取60具成人尸體共114側(cè)下肢標(biāo)本,解剖觀察股靜脈、股深靜脈、腘靜脈及靜脈交通支,測量股深靜脈匯入股靜脈處至收肌腱裂孔下緣的股靜脈段長度,即股靜脈可切取的解剖長度,以及靜脈壓扁外徑。分析2010年3月-2011年5月收治的120例下肢股靜脈段血栓形成患者CT靜脈造影(computed tomography venography,CTV)檢查資料,觀察其下肢靜脈回流通路。 結(jié)果 男性尸體身高平均158.3 cm,股靜脈可切取長度為(18.8 ± 2.3)cm,相對長度為0.118 ± 0.013,靜脈壓扁外徑為(15.8 ± 0.8)mm;女性尸體分別為149.2 cm、(15.1 ± 1.5)cm、0.101 ± 0.010、(14.0 ± 1.1)mm。男女股靜脈可切取長度比較,差異有統(tǒng)計學(xué)意義(t=6.354, P=0.000);靜脈壓扁外徑比較差異有統(tǒng)計學(xué)意義(t=5.555,P=0.000)。股靜脈可切取長度與身高成正相關(guān)(r=0.964,P=0.000),股靜脈壓扁外徑與身高成正相關(guān)(r=0.382,P=0.003)。解剖觀察見16側(cè)(14.0%)肢體存在雙股靜脈變異支,48側(cè)(42.1%)肢體存在1支股-腘靜脈交通支,38側(cè)(33.3%)肢體存在1支股深-腘靜脈交通支。CTV檢查示,下肢股靜脈血栓形成以后,大隱靜脈及股-腘或股深-腘靜脈交通支可代償股靜脈。 結(jié)論 大隱靜脈和股-腘靜脈交通支或股深-腘靜脈交通支的存在,保證了切取股靜脈作為血管移植材料的可靠性及安全性。
引用本文: 顏井偉 ,任為. 股靜脈作為血管移植材料可行性與安全性的應(yīng)用解剖研究. 中國修復(fù)重建外科雜志, 2012, 26(1): 102-105. doi: 復(fù)制
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27. | Georgakarakos EI, Georgiadis GS, Schoretsanitis NG, et al. Composite PTFE-transposed superficial femoral vein for lower limb arteriovenous access. J Vasc Access, 2011, 12(3): 253-257. |
28. | Munene G, Mack LA, Moore RD, et al. Neoadjuvant radiotherapy and reconstruction using autologous vein graft for the treatment of inferior vena cava leiomyosarcoma. J Surg Oncol, 2011, 103(2): 175-178. |
29. | Yie K, Kim KW, Kang SS, et al. Peripheral vascular reconstruction using. |
30. | Marcucci G, Antonelli R, Accrocca F, et al. A rare anomaly of the femoral. |
31. | Kennedy DP, Palit TK. Reconstruction of superior vena cava syndrome due to benign disease using superficial femoral vein. Ann Vasc Surg, 2010, 24(4): 555. e7-555. e12. |
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33. | Wells JK, Hagino RT, Bargmann KM, et al. Venous morbidity after superficial. |
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35. | Modrall JG, Hocking JA, Timaran CH, et al. Late incidence of chronic. |
- 1. venous insufficiency after deep vein harvest. J Vasc Surg, 2007, 46(3): 52.
- 2. prosthetic infections: the role of autogenous superficial femoropopliteal.
- 3. vein reconstruction. Arch Surg, 1999, 134(6): 615-620.
- 4. deep veins. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 88-92.
- 5. in prosthetic graft infections. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 93-98.
- 6. in infections of the aortoiliac region. Ann Vasc Surg, 1997, 11(4): 406-412.
- 7. popliteal vein as a conduit for vascular reconstruction in infected.
- 8. fields. Eur J Vasc Endovasc Surg, 2003, 25(5): 424-431.
- 9. for portal vein reconstruction during pancreaticoduodenectomy. Arch Surg, 2005, 140(7): 698-701.
- 10. femoral vein for benign superior vena cava syndrome. Ann Vasc Surg, 2006, 20(6): 834-838.
- 11. femoral vein as a venous graft for portal vein reconstruction.
- 12. in right lobe living donor liver transplantation. Transplant Proc, 2009, 41(1): 195-197.
- 13. deep vein graft for critically ill patients. Vascular, 2011, 19(5): 269-276.
- 14. vessels: complete transposition of the femoral artery and vein. Interact Cardiovasc Thorac Surg, 2010, 11(6): 838-839.
- 15. femoral-popliteal vein harvest. J Vasc Surg, 1999, 29(2): 282-289.
- 16. Clagett GP, Bowers BL, Lopez-Viego MA, et al. Creation of a neo-aortoiliac system from lower extremity deep and superficial veins. Ann Surg, 1993, 218(3): 239-248.
- 17. Gordon LL, Hagino RT, Jackson MR, et al. Complex aortofemoral.
- 18. Nevelsteen A, Lacroix H, Suy R. Infrarenal aortic graft infection: in situ aortoiliofemoral reconstruction with the lower extremity.
- 19. Sicard GA, Reilly JM, Doblas M, et al. Autologous vein reconstruction.
- 20. Franke S, Voit R. The superficial femoral vein as arterial substitute.
- 21. Brown PM Jr, Kim VB, Lalikos JF, et al. Autologous superficial femoral vein for aortic reconstruction in infected fields. Ann Vasc Surg, 1999, 13(1): 32-36.
- 22. Gibbons CP, Ferguson CJ, Fligelstone LJ, et al. Experience with femoro-.
- 23. Fleming JB, Barnett CC, Clagett GP. Superficial femoral vein as a conduit.
- 24. Erbella J, Hess PJ, Huber TS. Superior vena cava bypass with superficial.
- 25. Sato K, Sekiguchi S, Watanabe T, et al. The use of recipient superficial.
- 26. Dvorák M, Staffa R, Podlaha J, et al. Ruptured mycotic aneurysm of the abdominal aorta managed using a superficial femoral vein graft—a case review. Rozhl Chir, 2009, 88(1): 11-13.
- 27. Georgakarakos EI, Georgiadis GS, Schoretsanitis NG, et al. Composite PTFE-transposed superficial femoral vein for lower limb arteriovenous access. J Vasc Access, 2011, 12(3): 253-257.
- 28. Munene G, Mack LA, Moore RD, et al. Neoadjuvant radiotherapy and reconstruction using autologous vein graft for the treatment of inferior vena cava leiomyosarcoma. J Surg Oncol, 2011, 103(2): 175-178.
- 29. Yie K, Kim KW, Kang SS, et al. Peripheral vascular reconstruction using.
- 30. Marcucci G, Antonelli R, Accrocca F, et al. A rare anomaly of the femoral.
- 31. Kennedy DP, Palit TK. Reconstruction of superior vena cava syndrome due to benign disease using superficial femoral vein. Ann Vasc Surg, 2010, 24(4): 555. e7-555. e12.
- 32. Santilli SM, Lee ES, Wernsing SE, et al. Superficial femoral popliteal vein: An anatomic study. J Vasc Surg, 2000, 31(3): 450-455.
- 33. Wells JK, Hagino RT, Bargmann KM, et al. Venous morbidity after superficial.
- 34. Rahman A, Colak MC, Ustünel L, et al. A comparison of different treatment managements in patients with acute deep vein thrombosis by the effects on enhancing venous outflow in the lower limb. Med Sci Monit, 2009, 15(11): CR588-593.
- 35. Modrall JG, Hocking JA, Timaran CH, et al. Late incidence of chronic.