成年人双侧腋静脉大小差异的研究

Study on the size difference of bilateral axillary vein in adults

目的研究成年人双侧腋静脉大小的差异,为制定介入手术治疗方案提供依据。方法选择连云港市第二人民医院2017年12月至2018年12月住院患者145例(患者组)(高血压117例,心力衰竭28例)和同期健康志愿者87例(对照组)为研究对象,测量每个研究对象双侧腋静脉的大小并对其差异性进行统计学分析。结果232例研究对象中,优势手为右手占95.7%(222/232)。研究对象个体左右两侧腋静脉大小差异均无统计学意义(均P>0.05);患者组与对照组除年龄外,其他指标临床特征差异均无统计学意义(均P>0.05);男性腋静脉直径为(0.67±0.15)cm,女性为(0.53±0.13)cm,差异有统计学意义(P=0.000)。对照组优势手侧横截面积、非优势手侧横截面积、大侧横截面积分别为(0.54±0.17)mm^2、(0.54±0.15)mm^2、(0.60±0.16)mm^2,高血压组分别为(0.55±0.14)mm^2、(0.54±0.14)mm^2、(0.59±0.14)mm^2,心力衰竭组分别为(0.54±0.16)mm^2、(0.56±0.19)mm^2、(0.59±0.1)mm^2,三组差异均无统计学意义(均P>0.05)。结论成年人双侧腋静脉大小差异不明显,双侧腋静脉大小与优势手侧无相关性,不同性别的成年人腋静脉大小有差异,腋静脉的大小可通过受试者的性别预估,但并不能通过优势手及其他资料预测。

Objective To study the size difference of bilateral axillary vein in adults,and to provide basis for the design of interventional surgical treatment.Methods From December 2017 to December 2018,145 inpatients(117 cases of hypertension,28 cases of heart failure)and 87 healthy volunteers were selected from the Second People's Hospital of Lianyungang as study objects.The size of bilateral axillary vein of each study object was measured and the difference was statistically analyzed.Results Among the 232 subjects,the dominant hand was the right hand,accounting for 95.7%(222/232).There were no statistically significant differences in the size of left and right axillary veins(all P>0.05).There were no statistically significant differences in the other indicators except age between the two groups(all P>0.05).The diameter of axillary vein was(0.67±0.15)cm in male and(0.53±0.13)cm in female,the difference is statistically significant(P=0.000).In the healthy control group,the dominant,non-dominant and large cross-sectional areas were(0.54±0.17)mm^2,(0.54±0.15)mm^2,(0.60±0.16)mm^2,respectively,which in the hypertension group were(0.55±0.14)mm^2,(0.54±0.14)mm^2,(0.59±0.14)mm^2,respectively,which in the heart failure group were(0.54±0.16)mm^2,(0.56±0.19)mm^2,(0.59±0.1)mm^2,respectively,there were no statistically significant differences among the three groups(all P>0.05).Conclusion The difference is not obvious in the size of bilateral axillary vein,and there is no correlation between the size of bilateral axillary vein and dominant hand.The size of axillary vein in adults of different genders is different,and the size of axillary vein can be estimated by the gender of subjects,but not by the dominant hand or other data.