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大隐静脉上段的形态特点对大隐静脉高位结扎手术具有重要的意义。本文观察了52具(102例)不同性别成年下肢,得到下列主要结果: 1.大隐静脉全部经卵圆窝汇入股静脉,根据它汇入股静脉的部位不同,可把它分为三个类型,其中第Ⅲ型最多占61.76±4.81％。 2.隐股结合点的体表投影是在经髂前上棘与耻骨结节连线外侧2/3与内侧1/3交界点下方平均为3.89±0.07厘米、隐胶结合点的内外位置变化较小。 3.绝大多数个体(95.96±1.95％)的阴部外浅动脉与大隐静脉上端发生紧密的紧邻关系,其中约半数(65.63±4.85％)经静脉上端的后方。 4.双隐静脉是一种较少见的变异,我们仅观察到6例(5.88±2.33％)。 5.大隐静脉上段除接纳三个浅属支外并通常也接纳内、外侧副隐静脉(84.31±3.60％),其中外侧副隐静脉出现率是61.63±5.24％,内侧副隐静脉出现率为16.28±3.98％,内、外侧副隐静脉同时出现率为22.09±4.47％。 6.在观察的全部材料中有24.51±4.26％个体的阴部外深静脉任卵圆窝内汇入大隐静脉末端的内侧面,因此易为手术者所忽略。 7.大隐静脉上段属支根据参加联合的数目和联合的形式得出四个类型和11个分型,本材料中以第Ⅱ型最多,为总数的38.23±4.81％,其次是第Ⅰ型,占总数的29.41±4.51％。同时考虑实际应用根据注入属支数目来分型,其中以三支型和四支型最多,分别为总数的34.31±4.70％、33.33±4.67％,其次是二支型占24.51±4.26％,六支型最少占0.98±0.68％。 8.大隐静脉上段的绝大多数属支(91.18±2.80％)是在隐股结合点下方4厘米以内汇入大隐静脉。本文曾在湖南省医药卫生学会1962年年会解剖学分会上宣读,并加以补充和修改。
Morphological characteristics of the upper saphenous vein of the great saphenous vein ligation surgery is of great significance. In this paper, 52 adult (102) adult lower extremities of different genders were observed and the following main results were obtained: 1. The saphenous vein all transfered into the femoral vein via the oval fossa, which could be divided into three A type, of which type III up to 61.76 ± 4.81%. 2. The hidden surface of the conjunctive point projection is in the anterior superior iliac spine and pubic nodules outside the connection 2/3 and medial 1/3 junction below the average of 3.89 ± 0.07 cm, hidden juncture changes in the position inside and outside Smaller. 3. The vast majority of individuals (95.96 ± 1.95%) had superficial genital superficial vessels in close proximity to the superior saphenous vein, with approximately half (65.63 ± 4.85%) posterior to the upper veins. Double saphenous vein is a rare variant, we observed only 6 cases (5.88 ± 2.33%). The upper saphenous vein in addition to receiving the three superficial branches and usually accepted the medial and lateral saphenous vein (84.31 ± 3.60%), in which the incidence of lateral saphenous vein was 61.63 ± 5.24%, the incidence of medial saphenous vein 16.28 ± 3.98%, while the lateral and medial saphenous vein simultaneously was 22.09 ± 4.47%. 6. In all the observed materials, 24.51 ± 4.26% of the individual’s extravaginal deep veins were introduced into the medial surface of the saphenous vein at the fossa oval, so it was easy for the operator to ignore. 7. The upper saphenous vein in the upper branches according to the number of joint participation and the combination of the form of four types and 11 sub-type, the material to the type Ⅱ most, for the total number of 38.23 ± 4.81%, followed by type Ⅰ , Accounting for 29.41 ± 4.51% of the total. At the same time, the actual application was classified according to the number of infracted implants, of which the highest was 34.31 ± 4.70% and the third was 33.33 ± 4.67%, followed by the second branches accounting for 24.51 ± 4.26% and the sixth Branches accounted for at least 0.98 ± 0.68%. 8. The vast majority of the great saphenous vein branch (91.18 ± 2.80%) is hidden in the joint below 4 cm into the great saphenous vein. This article was read at the 1962 Annual Meeting of Anatomy in Hunan Medical and Health Association, and was supplemented and revised.