在三维计算机断层扫描血管学上阴道前沿的阴道静脉变化:在腹腔镜神经皮术之前的一项前性观察性研究
Hirotaka Sato1, Miki Kurita2, Takehiro Kato3
1Department of Urology, Hokusuikai Kinen Hospital, Ibaraki, Japan. hirotakasato911@yahoo.co.jp.
International urogynecology journal
|November 24, 2023
概括
内静脉变异很常见,影响五分之一的女性. 这些变异缩小了靠近十字头部的安全外科手术窗口,增加了像腹腔镜神经结合术这样的手术过程中的风险.
科学领域:
- 血管解剖学 血管解剖学
- 外科手术的安全性
- 骨盆外科手术 骨盆手术
背景情况:
- 静脉损伤是一个风险在前沿性带暴露在圣座前沿.
- 内静脉 (IIV) 的变化可能会影响该区域的外科安全性.
研究的目的:
- 在患有内静脉 (IIV) 变异的患者中,量化评估神圣前沿的血管窗口 (VW).
- 为了测试IIV变异与较窄的VW相关的假设.
主要方法:
- 对接受腹腔镜神经切除术 (LSC) 的患者进行前性观察性研究.
- 术前的三维计算机断层扫描血管学 (3DCTA) 用于VW测量.
- 根据年龄,BMI,高血压和糖尿病进行调整的协同变量分析 (ANCOVA).
主要成果:
- 在20.2%的患者中发现了内静脉 (IIV) 变异.
- 血管窗口 (VW) 在变异IIV组 (28.8毫米) 与标准组 (39.6毫米) 相比显著更窄.
- IIV变化独立地与减少的VW (系数,-11.8毫米) 相关.
结论:
- 五分之一的女性在圣殿前沿表现出血管变异.
- 这些解剖学变异可以将"安全"的手术固定区域减少到不到3厘米.
- 意识到IIV变异对于预防骨盆手术期间静脉损伤至关重要.
相关概念视频
Veins of the Abdomen and Pelvis
632
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
632
Veins of Lower Limbs
903
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
903


