大脑浅静脉吻合静脉的显微解剖与数字减影血管造影观察  

Microsurgical anatomy and DSA research about venous anastomosis of superficial cerebral veins

作　　者：顾英豪[1] 宋薇[1] 孙虎[1] 

机构地区：[1]山东省淄博市中心医院神经外科,255020

出　　处：《中华医学杂志》2015年第48期3924-3926,共3页National Medical Journal of China

摘　　要：目的 探讨正常成人大脑浅静脉吻合静脉的分布情况及其临床意义.方法 回顾性分析50例正常成人数字减影血管造影（DSA）静脉相片,并观察测量大脑浅静脉吻合静脉形态.同时对15具（30侧）经血管内灌注染料的成人尸头的大脑浅静脉吻合静脉显微镜下解剖观察.结果 上吻合静脉（Trolard静脉）和下吻合静脉（Labbe静脉）是大脑浅静脉的主要吻合静脉,50侧DSA静脉相共发现Trolard静脉55条,左侧27条,右侧28条,经显微解剖的30侧大脑半球共发现Trolard静脉34条,左侧18条,右侧16条.50侧DSA静脉相共发现Labbe静脉51条,左侧25条,右侧26条,30侧大脑半球共发现Labbe静脉31条,左侧15条,右侧16条.结论 大脑浅静脉吻合静脉变异较大,DSA静脉相显示与显微解剖发现基本相符,术前DSA检查有利于术中大脑浅静脉吻合静脉的保护.Objective To investigate the distribution and clinical significance about venous anastomosis of superficial cerebral vein in normal adult.Methods The digital subtraction angiography （DSA） images of the venous phase from 50 normal adults were retrospectively analyzed,and the morphology of venous anastomosis of superficial cerebral veins was observed and measured.While venous anastomosis of superficial cerebral veins of 15 （30 sides） cadaveric heads was observed through blood vessel perfusion.Results Trolard vein and Labbe vein were the main venous anastomosis of superficial cerebral veins.A total of 55 Trolard veins were found out of 50 sides DSA venous phase images,including left 27,right 28;34 Trolard veins,left 18,right 16,were found from the 30 sides of the brain hemispheres.51 Labbe veins,left 25,right 26,were found from the 50 sides DSA venous phase images,and 31 Labbe veins,left 15,right 16,were found from the 30 sides of the brain hemispheres.Condasions Venous anastomosis of superficial cerebral veins is variable.The DSA venous phase image is consistent with the microscopic anatomy,and the preoperative DSA examination is beneficial for the protection of venous anastomosis of superficial cerebral veins.

关 键 词：大脑浅静脉 吻合静脉 数字减影血管造影 显微解剖 

分 类 号：R651.1[医药卫生—外科学] R322[医药卫生—临床医学]