股静脉作为血管移植材料可行性与安全性的应用解剖研究  

APPLIED ANATOMICAL STUDY ON FEASIBILITY AND SAFETY OF FEMORAL VEIN AS A VASCULAR GRAFT MATERIAL

作　　者：颜井伟[1] 任为[1] 

机构地区：[1]重庆医科大学附属第一医院血管外科,重庆400016

出　　处：《中国修复重建外科杂志》2012年第1期102-105,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨股静脉作为血管移植材料的可行性与安全性。方法取60具成人尸体共114侧下肢标本,解剖观察股静脉、股深静脉、腘静脉及静脉交通支,测量股深静脉汇入股静脉处至收肌腱裂孔下缘的股静脉段长度,即股静脉可切取的解剖长度,以及静脉压扁外径。分析2010年3月-2011年5月收治的120例下肢股静脉段血栓形成患者CT静脉造影(computed tomography venography,CTV)检查资料,观察其下肢静脉回流通路。结果男性尸体身高平均158.3 cm,股静脉可切取长度为(18.8±2.3)cm,相对长度为0.118±0.013,静脉压扁外径为(15.8±0.8)mm;女性尸体分别为149.2 cm、(15.1±1.5)cm、0.101±0.010、(14.0±1.1)mm。男女股静脉可切取长度比较,差异有统计学意义(t=6.354,P=0.000);静脉压扁外径比较差异有统计学意义(t=5.555,P=0.000)。股静脉可切取长度与身高成正相关(r=0.964,P=0.000),股静脉压扁外径与身高成正相关(r=0.382,P=0.003)。解剖观察见16侧(14.0%)肢体存在双股静脉变异支,48侧(42.1%)肢体存在1支股-腘静脉交通支,38侧(33.3%)肢体存在1支股深-腘静脉交通支。CTV检查示,下肢股静脉血栓形成以后,大隐静脉及股-腘或股深-腘静脉交通支可代偿股静脉。结论大隐静脉和股-腘静脉交通支或股深-腘静脉交通支的存在,保证了切取股静脉作为血管移植材料的可靠性及安全性。Objective To explore the feasibility and safety of the femoral vein as a vascular graft material.Methods A total of 114 specimens of lower limbs were harvested from 60 adult cadavers;the lower extremity femoral veins,popliteal vein,deep femoral vein,and the communicating branch were dissected and observed;the length of the available femoral vein,from the point at which deep femoral vein and femoral vein joint to the lower edge of abductor hiatus,and squash vein diameter were measured.Computed tomography venography（CTV） data from 120 patients with lower extremity femoral vein thrombosis were analysed,and the venous reflux pathway of the lower extremity was observed.Results The average height of male was 158.3 cm,and the available length of femoral vein was（18.8 ± 2.3） cm（relative length,0.118 ± 0.013）,and squash vein diameter was（15.8 ± 0.8） mm.The average height of female was 149.2 cm,and the available length of femoral vein was（15.1 ± 1.5） cm（relative length,0.101± 0.010）,and squash vein diameter was（14.0 ± 1.1） mm.There were significant differences in the length of the available femoral vein（t=6.354,P=0.000） and squash vein diameter（t=5.555,P=0.000） between male and female.Positive correlation was found between the length of the available femoral vein and height（r=0.964,P=0.000）.Low correlation was found between squash vein diameter and height（r=0.382,P=0.003）.Double femoral veins were found in 16 limbs（14.0%）,a femoral-popliteal vein communicating branch in 48 limbs（42.1%）,a deep femoral-popliteal vein communicating branch in 38 limbs（33.3%）.CTV showed that great saphenous vein,femoral-popliteal,or deep femoral-popliteal vein communicating branches had compensative capacity in patients with femoral vein thrombosis.Conclusion It is reliable and safe to harvest femoral vein as a vascular graft because of the existence of the great saphenous vein and communicating branches between the popliteal vein and femoral vein or deep femoral vein.

关 键 词：股静脉 血管移植 解剖研究 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学] R318.08[医药卫生—基础医学]