基于血管显像仪的右上肢肘窝区浅静脉应用解剖研究

doi:10.13418/j.issn.1001-165x.2021.03.005

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中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (3) : 269-275. DOI: 10.13418/j.issn.1001-165x.2021.03.005

应用解剖

基于血管显像仪的右上肢肘窝区浅静脉应用解剖研究

刘兴利^1，2，　杜自宏^1，2，　张湘敏^1，2，　尹俊琨^1，2，　付杜娟^1，2，　李治^1，2，　吕梁^1，2

作者信息 +

The anatomical study of superficial vein in right cubital fossa based on vascular instrument

Liu Xingli ^1,2，Du Zihong ^1,2，Zhang Xiangmin^1,2，Yin Junkun ^1,2，Fu Dujuan^1,2，Li Zhi^1,2，Lv Liang ^1,2

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摘要

目的　无创性评估右上肢肘窝区浅静脉的形态并根据其影像图进行解剖分型和分类。方法　前瞻性收集本院2018年11月至2019年1月1000例受试者右上肢肘窝区浅静脉血管显像仪图像，进行形态分型和优势分类。结果　按肘正中静脉的形态分为5型10个亚型，分别为I（I0、I1、I2）、Ⅱ、Ⅲ（Ⅲ0、Ⅲ1）、Ⅳ（Ⅳ0、Ⅳ1、Ⅳ2）及V型，其中I型70.2%，II型2.9%，Ⅲ型2.5%，Ⅳ型23.2%，V型1.2%。按肘窝区主要浅静脉的直径、角度及属支数进行优势分类，分为3类：贵要优势类（B类）19.3%，头臂优势类（C类）9.7%，正中优势类（M类）71.0%。性别（P<0.001）、体重（P<0.001）和年龄（P=0.003）因素在优势分类中差异具有统计学意义，而在形态分型中仅有性别（P=0.006）和体重（P<0.001）差异有统计学意义。不同性别受试者贵要静脉和贵要正中静脉直径差异具有统计学意义（P<0.001），且贵要静脉直径在不同年龄组中差异具有统计学意义（P=0.009）；而头臂静脉直径仅在31~50岁和>70岁这两个年龄组间差异具有统计学意义（P=0.031)。结论　形态分型可以提供国人右上肢肘窝区浅静脉解剖信息，优势分类旨在临床相关操作（如CT增强检查时静脉注射造影剂）中更好地指导上肢静脉选择。

Abstract

Objective　To assess non-invasively the patterns of superficial veins at the cubital fossa of the right upper limbs by using vein imaging instrument. Methods The superficial vein angiography images of 1000 subjects in the cubital fossa of the right upper limbs were prospectively collected in our hospital from November 2018 to January 2019. Morphological types and dominant classification were performed. Results According to the morphology of the median cubital vein, they were divided into 5 types and 10 subtypes, which were I (I0, I1, I2), II, Ⅲ (Ⅲ0, Ⅲ1), Ⅳ (Ⅳ0, Ⅳ1, Ⅳ2) and V type, respectively. Among them, type I was accounting for 70.2%, type II was 2.9%, type III was 2.5%, type Ⅳ was 23.2%, type V was 1.2%. They were divided into the following three advantage types according to the diameter, angel and number of sub-branch of the main superficial vein in the area of cubital fossa, basilic advantage type (B type) accounting for 19.3%, brachiocephalic advantage type (B type) accounting for 9.7%, median advantage type (M type) accounting for 71.0%. There were statistical differences in the gender (P<0.001), weight (P<0.001) and age (P=0.003) during the advantage classification. While there were statistical differences in the gender (P<0.001) and weight (P<0.001) the during the morphological classification. There were statistical differences in the diameter of basilic vein and basilic median vein in the subjects of different genders (P<0.001). There were statistical differences in the diameter of basilic vein among different age group (P=0.009). There were statistical differences in the diameter of brachiocephalic vein between the age of 31-50 years old and more than 70 years old (P=0.031). Conclusions Morphological classification can provide anatomic information of the superficial vein in the cubital fossa which can guide the vein related medical operation, and the advantage classification aims to better guide the vein selection of the upper extremity in the clinically relevant procedures (such as intravenous contract injection during enhanced CT examination)

导出引用

刘兴利, 杜自宏, 张湘敏, 尹俊琨, 付杜娟, 李治, 吕梁. 基于血管显像仪的右上肢肘窝区浅静脉应用解剖研究[J]. 中国临床解剖学杂志. 2021, 39(3): 269-275 https://doi.org/10.13418/j.issn.1001-165x.2021.03.005

Liu Xingli, Du Zihong , Zhang Xiangmin, Yin Junkun, Fu Dujuan, Li Zhi, Lv Liang. The anatomical study of superficial vein in right cubital fossa based on vascular instrument[J]. Chinese Journal of Clinical Anatomy. 2021, 39(3): 269-275 https://doi.org/10.13418/j.issn.1001-165x.2021.03.005

中图分类号： R322.1

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