[基于解剖学和形态计量学研究的人体静脉运动变化]。

Małgorzata Kaczmarek
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引用次数: 0

摘要

心静脉激励了无数代的研究人员。从解剖学家和病理学家到心脏病学家和心脏外科医生,尽管医学取得了巨大的进步,但心脏和心血管疾病的结构问题迄今尚未完全被发现。材料与方法:本研究的材料来自博美拉尼亚医科大学正常与临床解剖系主任和系主任的收藏,包括102个人类心脏,其中男性59个,女性43个,年龄从12岁到70岁不等。被试心脏的冠状静脉和动脉都被环氧树脂填充,这样可以彻底暴露和区分静脉血管和动脉血管。这项研究的目的是评估心脏的尺寸、冠状动脉窦的大小、心脏静脉的长度和性别之间的相互关系。还确定了心静脉在材料中运行的频率和变异性,以及心大静脉、心中静脉、左、右冠状动脉分支的地形与心脏大小和性别之间的相关性。心脏和静脉的测量是用一对圆规、一个电子卡尺、一个测角仪和一个测平面仪完成的。结果:男性心脏大小明显大于女性心脏大小。心脏的尺寸与冠状窦(CS)的直径和长度以及心大静脉(GCV)、心中静脉(MCV)和心小静脉(SCV)的长度呈正相关。颈静脉的长度与颈静脉的直径和静脉的长度呈正相关。在测试材料中不总是存在的静脉包括:SCV,右边缘静脉(RMV),左心房斜静脉(OVLA),左边缘静脉(LMV)。结果发现,男性GCV和MCV的长度明显大于男性。MCV长度与GCV、SCV、OVLA、左心室后静脉(PVLV)、LMV长度呈正相关。GCV与MCV吻合在男性中更为常见,差异有统计学意义。结果发现,连接GCV和MCV的静脉弓与GCV长度呈正相关。PVLV与MCV、LMV的吻合度与性别无关,但与左右PVLV长度和MCV长度有统计学意义。
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[Variation in the course of human veins based on the anatomical and morphometric research].

Introduction: The cardiac veins have inspired numerous generations of researchers. From anatomists and pathologists to cardiologists and cardiac surgeons, the issue of the structure of heart and cardiovascular disorders- in spite of enormous progress of medicine - have not been completely discovered so far.

Material and methods: The material of the research comes from the collection of the Chair and Department of Normal and Clinical Anatomy of the Pomeranian Medical University and it includes 102 human hearts, of which 59 male and 43 female ones, aged from 12 and 70. Both coronary veins and arteries of the tested hearts were filled with the epoxy resin, which allowed for thorough exposing and differentiating between the venous vessels and the arterial vessels. The aim of this study was to assessing the interrelationships between the dimensions of the heart, the size of the coronary sinus, the length of the cardiac veins and a sex. Also determined the frequency and variability of cardiac veins run in the material, as well as the correlation between the topography of the course of the great cardiac vein, the middle cardiac vein, the branches of the left and right coronary arteries and the cardiac size and a gender. The measurements of the heart and the veins were made with the use of a pair of spherical compasses, an electronic caliper, a goniometer and a planimeter.

Results: It was found that the size of the male heart is statistically significantly greater than the female one. The dimensions of the heart correlated positively with the diameter and the length of the coronary sinus (CS) and the length of the great cardiac vein (GCV), the middle cardiac vein (MCV) and the small cardiac vein (SCV). The length of the CS positively correlated with its diameter and the length of the veins draining into it. The veins which were not always present in the tested material included: the SCV, the right marginal vein (RMV), the oblique vein of the left atrium (OVLA), the left marginal vein (LMV). It was found that the length of the GCV and the MCV in males were statistically significantly greater. The length of the MCV positively correlated with the length of the GCV, the SCV, the OVLA, the posterior vein of the left ventricle (PVLV), the LMV. The anastomoses between the GCV and the MCV were more often found in males and it was a statistically significant difference. It was found that there is a positive correlation between the venous arch connecting the GCV and the MCV and the length of the GCV. The anastomoses between the PVLV and the MCV and the LMV did not correlated with a sex, but it statistically significantly correlated with the length of the right and left PVLV and with the length of the MCV.

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