腘静脉变异1例

腘静脉是腘窝内的重要结构，由胫前和胫后静脉汇合形成，穿收肌腱裂孔向上延续为股静脉。我们在解剖一老年女尸（身高148cm）时，发现左侧腘静脉主干在腘窝及大腿后面均与坐骨神经伴行，近臀大肌止点肌骨臀肌相隆平面才穿大收肌延续为肌静脉。这种变异非常罕见。现将观察与测量结果报告如下。     

腘静脉变异1例

腘静脉是腘窝内的重要结构,由胫前和胫后静脉汇合形成,穿收肌腱裂孔向上延续为股静脉.我们在解剖一老年女尸(身高148 cm)时,发现左侧腘静脉主干在腘窝及大腿后面均与坐骨神经伴行,近臀大肌止点股骨臀肌粗隆平面才穿大收肌延续为股静脉.这种变异非常罕见[1,2].现将观察与测量结果报告如下.     

A rare variation of the profunda femoris vein in the popliteal fossa

The profunda femoris artery is normally accompanied by a profunda femoris vein (deep femoral vein), which begins at the adductor magnus with various tributaries and drains into the femoral vein at the femoral triangle. Very rarely, the profunda femoris vein establishes communication with the popliteal vein. We present an anomalous profunda femoris vein in a 62-year-old male cadaver whose vein was located in the popliteal fossa as a direct communicating channel between the popliteal vein and the femoral vein.     

腘静脉肌袢代瓣术后患者康复护理

目的探讨腘静脉肌袢代瓣术后患者的康复护理。方法859例静脉肌袢代瓣术后患者行腓肠肌按摩、关节锻炼和出院前活动指导并观察其效果。结果859例中794例(92.43%)获得随访,随访时间12-18个月。5例出现术后深静脉血栓形成,2例出现术后肌袢黏连,深静脉造影显示血管受压;其余患者肢体功能恢复良好。结论术后早期行康复护理有利于患肢功能的恢复。     

Ruptured popliteal cyst simulating deep vein thrombosis with false positive radiofibrinogen uptake

A case is described in which deep vein thrombosis of the calf was initially diagnosed on the basis of the clinical signs and the radiofibrinogen uptake in a patient suffering from rheumatoid arthritis. The correct diagnosis of ruptured popliteal cyst was later established by arthrography and phlebography. Attention is drawn to the unreliability of the radiofibrinogen uptake test in the presence of ruptured popliteal cyst and alternative diagnostic methods are discussed.     

Popliteal vein thrombosis associated with femoral osteochondroma and popliteal artery pseudoaneurysm.

Deep vein thrombosis is a common condition thought to be caused by impaired venous blood flow or hypercoagulable blood states. However, often no predisposing cause can be found. We describe a deep vein thrombosis formed in association with femoral osteochondroma and popliteal artery pseudoaneurysm. It is an interesting combination that has only been described once before.     

An unusual right popliteal vein aneurysm in an adult cadaver: A case report

The incidence of venous aneurysm is less than arterial aneurysms. Most are incidental findings with no major clinical significance. However, popliteal vein aneurysms (PVA) may be potentially life threatening, as they can be a source of pulmonary embolism and potentially even death. We report a case of right PVA in a 67-year-old male cadaver. Information from this case study may contribute to an improved understanding of these phenomena, including early detection of these or similar thromboembolic events.     

经小隐静脉与经腘静脉入路置管溶栓治疗急性下肢深静脉血栓的对比研究*

目的 探讨经腘静脉穿刺入路置管溶栓治疗急性下肢深静脉血栓（DVT）的应用价值。方法 62例 经造影或彩超明确诊断的急性下肢DVT患者,随机分为A、B组两组。A组（32例）经患肢腘静脉入路置管溶栓,B组（30例）经患肢小隐静脉入路置管溶栓。从治疗后患肢消肿率、静脉通畅度、治疗期并发症发生率等方面对两组患者进行观察比较。结果 A组大腿消肿率为（88±13）%,B组为（85±22）%,A组小腿消肿率（82± 16）%,B组为（84±15）%;A组静脉通畅度（84.55±2.34）%,B组（84.52±3.24）%。两组疗效比较,差异 无统计学意义（P?>0.05）。与B组比较,A组尿激酶使用量少,疗程短且并发症发生率低（P?<0.05）。结论 经腘静脉穿刺置管溶栓治疗急性下肢DVT形成优于经小隐静脉途径置管溶栓,其具有疗程短、尿激酶使用量少、并发症轻等优点。     

冠心病患者中血管内超声与冠状动脉造影术的差异

目的 观察在冠心病患者中血管内超声与冠状动脉造影术的差异.方法 对44例冠心病患者的58处冠脉血管段行冠状动脉造影(CAG)及血管内超声(IVUS)检查.结果 对58处冠脉血管段进行IVUS检测和CAG检测.58处血管CAG检测显示均未达到手术干预指征,而IVUS检测显示34处需要进行手术干预治疗.病变血管的直径及直径...     

经腘静脉置管溶栓治疗急性下肢深静脉血栓形成的效果

目的:观察经腘静脉置管溶栓治疗急性期下肢深静脉血栓形成(DVT)的效果。方法:选取30例急性期下肢DVT患者为观察对象,按照随机数字表法将其分为对照组和观察组各15例。对照组实施全身溶栓治疗,观察组予以经腘静脉置管溶栓治疗,随访6个月,比较两组治疗效果,溶栓前后大、小腿周径差、静脉通畅度评分及溶栓期间并发症发生率。结果:治疗后,观察组大、小腿周径差均明显低于对照组,差异有统计学意义(P<0.05);两组静脉通畅度评分均显著降低,且观察组评分明显低于对照组,差异有统计学意义(P<0.05);观察组治疗有效率86.67%,明显高于对照组的46.67%,差异有统计学意义(P<0.05);观察组溶栓期间并发症率6.67%(1/15),明显低于对照组的40.00%(6/15),差异有统计学意义(P<0.05)。结论:经腘静脉置管溶栓治疗急性期下肢DVT,效果显著,可明显减小患者大、小腿的周径差,且安全性好。     

Primary leiomyoma of the liver

This case report describes a primary hepatic leiomyoma presenting as a mass lesion detected on ultrasonography of the abdomen in an asymptomatic hepatitis B carrier on routine surveillance. Primary leiomyomata of the liver are rare occurrences, with only 9 cases reported in the literature. The presenting features of primary hepatic leiomyomata and diagnostic approach towards such lesions are discussed. The significance of such tumours in the immunocompromised is also mentioned.     

腘静脉外肌袢形成术在倒流性下肢深静脉机能不全及伴有腘静脉陷迫症时的临床应用

目的 探讨Guo静脉外肌袢形成术在倒流性下肢深静脉机能不全及伴有Guo静脉陷迫症时的临床疗效。方法 对18例实施手术患者的临床资料进行回顾性分析。结果 全部患者临床症状均有不同程度改善，其中15例疗效最为满意，占83.3%(15/18)。5例合并Guo静脉陷迫症的患者术后静脉造影均见原陷迫处血管通畅，术后无一例发生深静脉血栓形成，但其他近期并发症相对较多。结论 （1）Guo静脉外肌袢形成术是重度倒流或倒流Ⅲ-Ⅳ级的下肢深静机能不全的优选手术，其肌袢的长度是影响术后疗效的关键。（2）在诊断倒流病变的同时，应注意Guo静脉陷迫症的存在，手术时应同时行陷迫松解，纠正回流障碍因素。（3）严格掌握适应证及熟练，规范的技术操作是减少并发症的关键。     

寄生性子宫肌瘤临床分析

目的:探讨寄生性子宫肌瘤的病因、临床表现和治疗.方法:结合我院2例寄生性子宫肌瘤,回顾分析周内外报道寄生性子宫肌瘤的临床表现、病理、诊断、治疗和预后.结果:寄生性子宫肌瘤是一种特殊生长方式的肌瘤,其生物学行为与子宫肌瘤相似,但其特殊生长位置和缺乏特异性检查手段,术前误诊率达100%.手术治疗效果好,预后好.结论:寄生性子宫肌瘤是一种罕见的良性平滑肌瘤,术前诊断困难,手术是最佳治疗方法.     

子宫多发性平滑肌瘤合并上皮样平滑肌瘤1例

患者 ,女 ,42岁 ,发现子宫肌瘤 8年。定期随访 ,肌瘤渐大。入院查体 :一般情况尚可。妇科检查 :外阴已婚经产式 ,宫颈中度糜烂 ,无举痛 ;子宫前位 ,前壁扪及 8cm× 8cm包块 ,质硬 ,活动度差 ,无压痛。双侧附件未扪及异常。B超发现子宫前壁 7.2cm× 7.3cm× 7.6cm不均质回声 ,子宫底见 4.8cm× 4.7cm× 5 .2cm不均质回声 ,其内见 1.4cm× 1.5cm增强回声 ,提示多发性子宫肌瘤伴钙化。术中见子宫增大如 3月孕大 ,形态欠规则 ,前壁突起 ,子宫底部见直径约 6cm肌瘤 ,切面呈漩涡状 ,后壁见 2个小肌瘤 ,行子宫次全切及宫颈锥切术。　　病理检查 :…     

Primary ovarian leiomyoma

Ovarian leiomyoma is a rare and incidentally detected neoplasm, clinically indistinguishable from subserous leiomyomas and ovarian fibromas, until histopathological confirmation. We present a case of leiomyoma arising primarily from the ovary in a 35 year old woman.