下肢深静脉男尸与病理造影直径对比及临床

The Contrast and Clinic of Deep Venous Diameter of the Lower Limbs between Corpses and Pathology Phlebography

目的 :为给通过临床造影术来诊断下肢静脉系统疾病提供参考依据 ;为断肢再植、自体大静脉移植或搭桥以重建血液循环术[1～ 3 ] 提供解剖学基础。方法 :取患有下肢静脉疾病的男性成人X线造影片和正常成人男尸下肢各 31侧 (左右各半 ) ,在股、静脉上取五个位点分别进行外管径测量。结果 :发现在第一、二、三、四、五位点上 ,男尸左侧依次为 9.9871± 0 .3385 (χ±Sχ)mm ,8.1194± 0 .4 0 5 2mm ,8.5 2 4 2± 0 .3812mm ,8.2 2 74± 0 .4 347mm ,8.1932± 0 .384 0mm ;男患左侧分别是 13.5 984± 0 .4 5 2 9mm ,13.95 97± 0 .345 2mm ,13.4 6 77± 0 .3379mm ,13.96 13± 0 .375 0mm ,13.0 74 2± 0 .3933mm ;男尸右侧为 9.4 80 6± 0 .390 3mm ,8.1790± 0 .3889mm ,8.2 935± 0 .3879mm ,7.772 6± 0 .3876mm ,8.0 387± 0 .4 393mm ;男患右侧 14.32 4 2± 0 .4 6 2 9mm ,12 .4 72 9± 0 .2 92 8mm ,14.2 30 6± 0 .4 16 7mm ,13.932 3± 0 .4 6 13mm ,13.796 8± 0 .4 4 5 6mm。经方差分析 ,P值 <0 .0 1。结论 :尸体与病理造影片的股、静脉外径大小有显著性差异 ,下肢静脉造影是临床诊断下肢静脉系统疾病的重要手段[4 ] 。尸体与病理造影的股、静脉管径均数比 ,有九个位点是 <0 .6 6 6 7,说明?

TO provid information for which clinical phlebography diagnoses venous disease of the lower limbs, and to provid anafomical foundation for replantation of a severed limb and reconstructed blood circulation surgery through transplanted of self vein or builded a bridge with vein. Method:measured femoral and popliteal venous diameters of five points on the adult male lower limb phlebographies with venous disease and the no-ill adult male corpses in the left and the right thirty-one cases separatively.Results: On first、second、 third、fourth、 fifth point, the results were the left of corpses being 9.9871±0.3385(χ+Sχ)mm,8.1194±0.4052mm,8.5242±0.3812mm,8.2274±0.4347mm, 8.1932±0.3840mm in poper order; this of phlebographies being 13.5984±0.4529mm,13.9597±0.3452mm,13.4677±0.3379mm,13.9613±0.3750mm,13.0742±0.3933mm;the right of corpses being 9.4806±0.3903mm, 8.1790±0.3889mm,8.2935±0.3879mm,7.7726±0.3876mm,8.0387±0.4393mm separatively;this of phlebographies being 14.3242±0.4629mm,12.4729±0.2928mm, 14.2306±0.4167mm,13.9323±0.4613mm, 13.7968±0.4456mm. P <0.01 with ANOVA.Conclusion:Femoral and popliteal venous diameter between corpses and pathology phlebographies had a marked difference on size,and phlebography of the lower limb was an important clinical diagnosis for venous disease of the lower limbs.Femoral and popliteal venous diamefral χ ratio between corpse to pathology phlebography is <0.6667 on nine points,which illustrates the stored function of venous vessel being large.