股靜脈作為血管移植材料可行性與安全性的應用解剖研究_《中國修復重建外科雜志》

作者：

顏井偉 , 任為

重慶醫科大學附屬第一醫院血管外科（重慶，400016）;

關鍵詞：

股靜脈血管移植解剖研究

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【摘要】目的探討股靜脈作為血管移植材料的可行性與安全性。方法取60具成人尸體共114側下肢標本，解剖觀察股靜脈、股深靜脈、腘靜脈及靜脈交通支，測量股深靜脈匯入股靜脈處至收肌腱裂孔下緣的股靜脈段長度，即股靜脈可切取的解剖長度，以及靜脈壓扁外徑。分析2010年3月－2011年5月收治的120例下肢股靜脈段血栓形成患者CT靜脈造影（computed tomography venography，CTV）檢查資料，觀察其下肢靜脈回流通路。結果男性尸體身高平均158.3 cm，股靜脈可切取長度為（18.8 ± 2.3）cm，相對長度為0.118 ± 0.013，靜脈壓扁外徑為（15.8 ± 0.8）mm；女性尸體分別為149.2 cm、（15.1 ± 1.5）cm、0.101 ± 0.010、（14.0 ± 1.1）mm。男女股靜脈可切取長度比較，差異有統計學意義（t=6.354， P=0.000）；靜脈壓扁外徑比較差異有統計學意義（t=5.555，P=0.000）。股靜脈可切取長度與身高成正相關（r=0.964，P=0.000），股靜脈壓扁外徑與身高成正相關（r=0.382，P=0.003）。解剖觀察見16側（14.0%）肢體存在雙股靜脈變異支，48側（42.1%）肢體存在1支股-腘靜脈交通支，38側（33.3%）肢體存在1支股深-腘靜脈交通支。CTV檢查示，下肢股靜脈血栓形成以后，大隱靜脈及股-腘或股深-腘靜脈交通支可代償股靜脈。結論大隱靜脈和股-腘靜脈交通支或股深-腘靜脈交通支的存在，保證了切取股靜脈作為血管移植材料的可靠性及安全性。

引用本文： 顏井偉 ,任為. 股靜脈作為血管移植材料可行性與安全性的應用解剖研究. 中國修復重建外科雜志, 2012, 26(1): 102-105. doi: 復制

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2.	prosthetic infections: the role of autogenous superficial femoropopliteal.
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4.	deep veins. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 88-92.
5.	in prosthetic graft infections. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 93-98.
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7.	popliteal vein as a conduit for vascular reconstruction in infected.
8.	fields. Eur J Vasc Endovasc Surg, 2003, 25(5): 424-431.
9.	for portal vein reconstruction during pancreaticoduodenectomy. Arch Surg, 2005, 140(7): 698-701.
10.	femoral vein for benign superior vena cava syndrome. Ann Vasc Surg, 2006, 20(6): 834-838.
11.	femoral vein as a venous graft for portal vein reconstruction.
12.	in right lobe living donor liver transplantation. Transplant Proc, 2009, 41(1): 195-197.
13.	deep vein graft for critically ill patients. Vascular, 2011, 19(5): 269-276.
14.	vessels: complete transposition of the femoral artery and vein. Interact Cardiovasc Thorac Surg, 2010, 11(6): 838-839.
15.	femoral-popliteal vein harvest. J Vasc Surg, 1999, 29(2): 282-289.
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19.	Sicard GA, Reilly JM, Doblas M, et al. Autologous vein reconstruction.
20.	Franke S, Voit R. The superficial femoral vein as arterial substitute.
21.	Brown PM Jr, Kim VB, Lalikos JF, et al. Autologous superficial femoral vein for aortic reconstruction in infected fields. Ann Vasc Surg, 1999, 13(1): 32-36.
22.	Gibbons CP, Ferguson CJ, Fligelstone LJ, et al. Experience with femoro-.
23.	Fleming JB, Barnett CC, Clagett GP. Superficial femoral vein as a conduit.
24.	Erbella J, Hess PJ, Huber TS. Superior vena cava bypass with superficial.
25.	Sato K, Sekiguchi S, Watanabe T, et al. The use of recipient superficial.
26.	Dvorák M, Staffa R, Podlaha J, et al. Ruptured mycotic aneurysm of the abdominal aorta managed using a superficial femoral vein graft—a case review. Rozhl Chir, 2009, 88(1): 11-13.
27.	Georgakarakos EI, Georgiadis GS, Schoretsanitis NG, et al. Composite PTFE-transposed superficial femoral vein for lower limb arteriovenous access. J Vasc Access, 2011, 12(3): 253-257.
28.	Munene G, Mack LA, Moore RD, et al. Neoadjuvant radiotherapy and reconstruction using autologous vein graft for the treatment of inferior vena cava leiomyosarcoma. J Surg Oncol, 2011, 103(2): 175-178.
29.	Yie K, Kim KW, Kang SS, et al. Peripheral vascular reconstruction using.
30.	Marcucci G, Antonelli R, Accrocca F, et al. A rare anomaly of the femoral.
31.	Kennedy DP, Palit TK. Reconstruction of superior vena cava syndrome due to benign disease using superficial femoral vein. Ann Vasc Surg, 2010, 24(4): 555. e7-555. e12.
32.	Santilli SM, Lee ES, Wernsing SE, et al. Superficial femoral popliteal vein: An anatomic study. J Vasc Surg, 2000, 31(3): 450-455.
33.	Wells JK, Hagino RT, Bargmann KM, et al. Venous morbidity after superficial.
34.	Rahman A, Colak MC, Ustünel L, et al. A comparison of different treatment managements in patients with acute deep vein thrombosis by the effects on enhancing venous outflow in the lower limb. Med Sci Monit, 2009, 15(11): CR588-593.
35.	Modrall JG, Hocking JA, Timaran CH, et al. Late incidence of chronic.

1. venous insufficiency after deep vein harvest. J Vasc Surg, 2007, 46(3): 52.
2. prosthetic infections: the role of autogenous superficial femoropopliteal.
3. vein reconstruction. Arch Surg, 1999, 134(6): 615-620.
4. deep veins. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 88-92.
5. in prosthetic graft infections. Eur J Vasc Endovasc Surg, 1997, 14 Suppl A: 93-98.
6. in infections of the aortoiliac region. Ann Vasc Surg, 1997, 11(4): 406-412.
7. popliteal vein as a conduit for vascular reconstruction in infected.
8. fields. Eur J Vasc Endovasc Surg, 2003, 25(5): 424-431.
9. for portal vein reconstruction during pancreaticoduodenectomy. Arch Surg, 2005, 140(7): 698-701.
10. femoral vein for benign superior vena cava syndrome. Ann Vasc Surg, 2006, 20(6): 834-838.
11. femoral vein as a venous graft for portal vein reconstruction.
12. in right lobe living donor liver transplantation. Transplant Proc, 2009, 41(1): 195-197.
13. deep vein graft for critically ill patients. Vascular, 2011, 19(5): 269-276.
14. vessels: complete transposition of the femoral artery and vein. Interact Cardiovasc Thorac Surg, 2010, 11(6): 838-839.
15. femoral-popliteal vein harvest. J Vasc Surg, 1999, 29(2): 282-289.
16. Clagett GP, Bowers BL, Lopez-Viego MA, et al. Creation of a neo-aortoiliac system from lower extremity deep and superficial veins. Ann Surg, 1993, 218(3): 239-248.
17. Gordon LL, Hagino RT, Jackson MR, et al. Complex aortofemoral.
18. Nevelsteen A, Lacroix H, Suy R. Infrarenal aortic graft infection: in situ aortoiliofemoral reconstruction with the lower extremity.
19. Sicard GA, Reilly JM, Doblas M, et al. Autologous vein reconstruction.
20. Franke S, Voit R. The superficial femoral vein as arterial substitute.
21. Brown PM Jr, Kim VB, Lalikos JF, et al. Autologous superficial femoral vein for aortic reconstruction in infected fields. Ann Vasc Surg, 1999, 13(1): 32-36.
22. Gibbons CP, Ferguson CJ, Fligelstone LJ, et al. Experience with femoro-.
23. Fleming JB, Barnett CC, Clagett GP. Superficial femoral vein as a conduit.
24. Erbella J, Hess PJ, Huber TS. Superior vena cava bypass with superficial.
25. Sato K, Sekiguchi S, Watanabe T, et al. The use of recipient superficial.
26. Dvorák M, Staffa R, Podlaha J, et al. Ruptured mycotic aneurysm of the abdominal aorta managed using a superficial femoral vein graft—a case review. Rozhl Chir, 2009, 88(1): 11-13.
27. Georgakarakos EI, Georgiadis GS, Schoretsanitis NG, et al. Composite PTFE-transposed superficial femoral vein for lower limb arteriovenous access. J Vasc Access, 2011, 12(3): 253-257.
28. Munene G, Mack LA, Moore RD, et al. Neoadjuvant radiotherapy and reconstruction using autologous vein graft for the treatment of inferior vena cava leiomyosarcoma. J Surg Oncol, 2011, 103(2): 175-178.
29. Yie K, Kim KW, Kang SS, et al. Peripheral vascular reconstruction using.
30. Marcucci G, Antonelli R, Accrocca F, et al. A rare anomaly of the femoral.
31. Kennedy DP, Palit TK. Reconstruction of superior vena cava syndrome due to benign disease using superficial femoral vein. Ann Vasc Surg, 2010, 24(4): 555. e7-555. e12.
32. Santilli SM, Lee ES, Wernsing SE, et al. Superficial femoral popliteal vein: An anatomic study. J Vasc Surg, 2000, 31(3): 450-455.
33. Wells JK, Hagino RT, Bargmann KM, et al. Venous morbidity after superficial.
34. Rahman A, Colak MC, Ustünel L, et al. A comparison of different treatment managements in patients with acute deep vein thrombosis by the effects on enhancing venous outflow in the lower limb. Med Sci Monit, 2009, 15(11): CR588-593.
35. Modrall JG, Hocking JA, Timaran CH, et al. Late incidence of chronic.

《中國修復重建外科雜志》

股靜脈作為血管移植材料可行性與安全性的應用解剖研究

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《中國修復重建外科雜志》

股靜脈作為血管移植材料可行性與安全性的應用解剖研究

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Content

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