[左侧膈下静脉解剖变异性的临床意义]。

Ye V Chaplygina, S S Mukanyan, O A Kaplunova
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引用次数: 0

摘要

采用制备、注射、形态计量和变分统计等综合方法对80具成年男女尸体的横膜进行了研究。发现左侧膈下静脉有明显的解剖变异,其特征是其汇合处的不同变异和直径的变化。确定了左侧膈下静脉汇合处的五种变异。结果表明,左侧膈下静脉汇合处形成一条与下腔静脉融合的单干,适合于置管。适合置管的左膈下静脉可分为可自由置管(直径5mm及以上)。有条件插管(直径小于5mm)。在进行心脏再同步化治疗时,静脉可作为经静脉传递刺激电极系统的替代途径(与心脏冠状窦一起)。左膈下静脉在肝静脉和肾上腺静脉汇合处的变异不适合置管。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[CLINICAL SIGNIFICANCE OF ANATOMICAL VARIABILITY OF THE LEFT INFERIOR PHRENIC VEIN].

The diaphragm was taken from the corpses of 80 humans of both sexes of adult age and was studied using the complex of preparation, injection, morphometric and of variational-statistical methods. A significant anatomical variation of the left inferior phrenic veins was found, that was characterized by different variants of their confluence, and variation of their diameters. Five variants of the confluence of the left inferior phrenic veins were defined. It was shown that the variant of confluence of the left inferior phrenic veins into a single trunk fusing with the inferior vena cava was suitable for catheterization. Suitable for catheterization left inferior phrenic veins may be divided into freely catheterizable (diameter of 5 mm and more).and conditionally catheterizable (diameter less Than 5 mm). When performing cardiac resynchronization therapy, the vein can be used as an alternative way (along with the coronary sinus of the heart) for transvenous delivery system of stimulation electrode. Variants of confluence of the left inferior phrenic vein in hepatic and adrenal veins were not suitable for catheterization.

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