Michaela Veselá, Michal Beneš, Gabriela Dostálová, Aleš Linhart, David Kachlík
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引用次数: 0
摘要
隐腘交界处的分类一直在发展,但准确了解交界处的类型对于正确的手术治疗仍然至关重要。我们通过双向静脉扫描检查了 244 名健康志愿者(中位年龄:23.0 岁,83 名女性,39 名男性)的四肢隐腘交界处,并对 13 项研究进行了荟萃分析,重点关注交界处的结构类型。根据施维格霍夫(Schweighoffer)的分类法,我们将交界处分为 5 种类型,并根据卡维齐(Cavezzi)的胃网膜静脉终止分类法将 A 型细分为两种。我们还增加了 F 型(小隐静脉-SSV 终止于腘静脉-PV),该类型在尸体研究中得到了特别描述。在我们的研究中,最常见的类型是 A1(96 例),其次是 C(70 例)、B(48 例)、A2(20 例)、E(6 例)、D(3 例)和 F(0 例)。A+B+D+E型的总患病率估计为54.7%(95% CI 40.9-69.6%),C型为24.4%(95% CI 19.3-29.5%),而在17.1%(95% CI 6.3-27.9%)的病例中,SSV终止于PV,没有颅骨延伸。了解隐腘交界处及其变异的发生率有助于临床医生在常规检查中快速识别交界处的真实类型。在中欧人群中,主要的类型是 A1 型,而在世界范围内则是 A 型。
Variations of the Saphenopopliteal Junction: An Ultrasonography Study in a Young Population, A Systematic Review and A Meta-Analysis.
Saphenopopliteal junction classification has been developing, but still the precise knowledge of junction type is crucial for proper surgical treatment. We examined the saphenopopliteal junction by duplex venous scanning in 244 extremities in healthy volunteers (median age: 23.0 years, 83 females, 39 male) and performed a meta-analysis of 13 studies focusing on structural types of the junction. According to Schweighoffer's classification we distinguished 5 types of the junction and we subdivided type A according to Cavezzi's classification of gastrocnemial veins termination into two. We added type F (small saphenous vein-SSV terminates into popliteal vein-PV), described especially in cadaveric studies. In our study, the most frequent type was A1 (96 cases), followed by C (70), B (48), A2 (20), E (6), D (3) and F (0). The pooled prevalence estimate for types A + B + D + E was 54.7% (95% CI 40.9-69.6%) and for type C 24.4% (95% CI 19.3-29.5%), whereas in 17.1% (95% CI 6.3-27.9%) of cases, the SSV terminated in the PV with no cranial extension present. The knowledge of the saphenopopliteal junction and its variations prevalence can help clinicians to quickly identify the real type of the junction during routine examination. In mid-European population, the main type is A1 and worldwide type A.
期刊介绍:
A presentation of original, peer-reviewed original articles, review and case reports relative to all phases of all vascular diseases, Angiology (ANG) offers more than a typical cardiology journal. With approximately 1000 pages per year covering diagnostic methods, therapeutic approaches, and clinical and laboratory research, ANG is among the most informative publications in the field of peripheral vascular and cardiovascular diseases. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 13 days