[1]贤俊民　李进军　张宏图等.小脑浅静脉的显微解剖及临床意义[J].中国临床神经外科杂志,2021,26(02):98-100.[doi:10.13798/j.issn.1009-153X.2021.02.011]
　XIAN Jun-min,LI Jin-jun,ZHANG Hong-tu,et al.Microanatomy of superficial cerebellar veins and its clinical significance[J].,2021,26(02):98-100.[doi:10.13798/j.issn.1009-153X.2021.02.011]
点击复制

小脑浅静脉的显微解剖及临床意义()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年02期
页码:
98-100
栏目:
实验研究
出版日期:
2021-02-25

文章信息/Info

Title:
Microanatomy of superficial cerebellar veins and its clinical significance
文章编号:
1009-153X（2021）02-0098-03
作者:
贤俊民　李进军　张宏图等
274031 山东，菏泽市立医院神经外科（贤俊民、李进军、张宏图、 郭西文、梁宪坤、张全忠）；266003 山东青岛，青岛大学附属医院神经外科（丰育功）
Author(s):
XIAN Jun-min;  LI Jin-jun;  ZHANG Hong-tu;  et al
Department of Neurosurgery, Heze Municipal Hospital, Heze 274031, China; 2. Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, China
关键词:
脑静脉; 小脑浅静脉; 神经解剖学; 显微手术
Keywords:
Cerebral vein;  Superficial cerebellar vein;  Neuroanatomy;  Microsurgery
分类号:
R 322.81; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2021.02.011
文献标志码:
A
摘要:
目的 观察小脑浅静脉的显微解剖结构。方法 利用20具（40侧）尸头标本，动、静脉分别用红蓝色乳胶灌注，在显微镜下观察小脑浅静脉的构成并测量相关的数据。结果 小脑浅静脉的构成中，15具标本的小脑中央前静脉纤细，外径平均为（1.1±0.14）mm；5具标本粗大，外径平均为（2.0±0.20）mm。20具标本（40侧）小脑前静脉均可见，管径平均为（1.05±0.31）mm。上蚓静脉前组共51支，主干外径平均为（0.9±0.30）mm；上蚓静脉后组65支，外径平均为（0.9±0.33）mm。小脑半球上表面的静脉：前组共31支，管径平均为（1.3±0.13）mm；后组共68支，管径平均为（1.3±0.21）mm；小脑后下静脉共82支，主干外径平均为（1.9±0.23）mm，分支外径平均为（1.3±0.35）mm。结论 小脑静脉管径较细，构成变异性大，但其静脉的分布及走行仍有规律可寻。这对小脑及脑干病变手术入路的设计可提供形态学上的帮助，有利于静脉的保护，减少手术并发症。
Abstract:
Objective To observe the microsurgical anatomy of superficial cerebellar veins and disscuss its clinical significance. Methods Twenty (40 sides) cadaver heads were used, and the arteries and veins were perfused with red and blue latex, respectively. Under the microscope, the composition of the superficial cerebellum was observed. The related data of venous constitution of the superficial cerebellum were measured. Results Precentral cerebellar veins were slender in 15 cadaver heads with a mean outer diameter of (1.1±0.14) mm, and large in another 5 heads with a mean outer diameter of (2.0±0.20) mm. The anterior cerebellar veins were seen in all the heads, and the mean outer diameter was (1.05±0.31) mm. The anterior group of superior vermis veins included 51 branches and the mean outer diameter was (0.9±0.30) mm. The posterior group of superior vermis veins included 65 branches, and the mean outer diameter was(0.9±0.33) mm. The anterior group of the veins on upper surface of cerebellar hemisphere included 31 branches, and the mean outer diameter was (1.3±0.13) mm. The posterior group of the veins on upper surface of cerebellar hemisphere included 68 branches, and the mean outer diameter was (1.3±0.21) mm. The posterior inferior cerebellar veins included 82 branches, and the mean outer diameter of the trunk was (1.9±0.23) mm, and the mean outer diameter of branch was (1.3±0.35) mm. Conclusions The diameters of cerebellar veins were relatively small and the variation of their composition was large, but the distribution and course of these veins were still regular, which can provide morphological help for the design of the surgical approach for the cerebellar and brainstem lesions, so as to facilitate the protection of the veins and reduce the surgical complications.

参考文献/References:

[1] Albert L, Rhoton AL Jr. Microsurgical anatomy and surgical approaches [J]. Neurosurgery, 2002, 51(S1): 192-205.
[2] 何润昌，钟世镇. 小脑与脑干之间深静脉的显微外科解剖[J]. 临床应用解剖学杂志，1984，2（4）：24-27.
[3] 张力伟. 多模态融合技术在精准神经外科治疗时代的应用价值[J]. 中华神经外科杂志，2018，34（4）：325-326.
[4] Narayan V, Savardekar AR, Patra DP, et al. Safety profile of superior petrosal vein (the vein of Dandy) sacrifice in neu-rosurgical procedures: a systematic review [J]. Neurosurg Focus, 2018, 45(1): 1068-1073.
[5] Pathmanaban ON, O’Brien F, Al-Tamimi YZ, et al. Safety of superior petrosal vein sacrifice during microvascular decompression of the trigeminal nerve [J]. World Neurosurg,2017, 103: 84-87.
[6] La Pira B, Sorenson T, Quillis-Quesada V, et al. The para-median supracerebellar infratentorial approach [J]. Acta Neurochir (Wien), 2017, 159(8): 1529-1532.
[7] Chaynes P. Microsurgical anatomy of the great cerebral vein of Galen and its tributaries [J]. J Neurosurg, 2003, 99(6): 1028-1038.
[8] 贤俊民，丰育功，焦迎宾，等. Galen静脉系的解剖变异及其临床意义[J]. 中国临床神经外科杂志，2009，14（1）：33-36.

相似文献/References:

[1]李兵兵　洪景芳　李克磊　张　灏　张尚明　王守森.动脉瘤性蛛网膜下腔出血对脑静脉循环的影响[J].中国临床神经外科杂志,2021,26(01):17.[doi:10.13798/j.issn.1009-153X.2021.01.006]
　LI Bing-bing,HONG Jing-fang,LI Ke-lei,et al.Effects of aneurysmal subarachnoid hemorrhage on cerebral venous circulation[J].,2021,26(02):17.[doi:10.13798/j.issn.1009-153X.2021.01.006]

备注/Memo

备注/Memo:
通讯作者：丰育功，E-mail：fengyugong@126.com
更新日期/Last Update: 2021-02-25