Trolard静脉和Labbe静脉体表投影区的研究  

Trolard and Labbe veins surface projection areas and its clinical meanings

作　　者：贤俊民[1] 焦迎宾[2] 丰育功[2] 

机构地区：[1]菏泽市立医院神经外科,山东274031 [2]青岛大学医学院附属医院神经外科,青岛266003

出　　处：《中国临床神经外科杂志》2015年第1期34-36,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨Trolard静脉和Labbe静脉在体表的投影区及其临床意义。方法选择20具(40侧)经血管内灌注乳胶颜料的成人尸头,在尸头上标出外侧裂及中央沟的体表标志线,后在显微镜下观察Trolard静脉和Labbe静脉的形态、走行和回流位置,最后划定两支静脉的体表投影区。结果 Trolard和Labbe静脉的形态、走行和回流位置存在较大变异,大多数走行于划定的Trolard静脉和Labbe静脉体表投影区。结论 Trolard静脉和Labbe静脉的变异大,但其走行仍有规律可循,血肿穿刺时避开Trolard静脉和Labbe静脉区,可最大化避免静脉的损伤。Objective To investigate the body surface areas of Trolard and Labbe veins projection and their clinical meanings. Methods The intraarterial and intravenous perfusions of latex were performed in 20 （40 sides） adult cadaveric heads. The surface marker lines of the lateral cerebral fissures and the central sulci in all the cadaveric heads, in which Trolard and Labbe veins morphology, runs and the reflux position were observed under a microscope. The surface areas of these two veins projections were finally delineated. Results Of 41 Trolard veins found in 20 cadaveric heads, 22 were in the left cerebral hemispheres and 19 in the right. of 43 Labbe veins found in 20 cadaveric heads, 29 were in the left cerebral hemispheres and 14 in right. The surface area of 80.5% （33/43） of Trolard vein projection was enclosed by the line parallel and 2 cm distance to the surface mark line of the central sulcus, anterior and posterior vertical lines and the surface mark line of the lateral cerebral fissure. The surface area of 86.0% （37/43） Labbe vein projection was enclosed by the surface mark line of the lower edge of the cerebrum, surface mark line of the lateral cerebral fissure and medial vertical line. Conclusions The runs of Trolard and Labbe veins were mutant in the adults, but there were the laws to go by in the runs of most of them. The familiarization of the laws of the veins runs is helpful to avoidance of the damage to Trolard and Labbe veins when the puncture of intracranial haematoma is performed.

关 键 词：Trolard静脉 LABBE静脉 体表投影区 临床意义 

分 类 号：R322.81[医药卫生—人体解剖和组织胚胎学] R651.11[医药卫生—基础医学]