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在33具成人(男26,女7,共66侧)的下肢上观察了小隐静脉及与其周围神经的关系。从膝关节缝向下至外踝尖之间等分为7个平面,在每个平面上测量了小隐静脉与邻近各神经的间距。小隐静脉多经胫神经的内侧注入胭静脉占(77.2%),经胫、腓神经之间注入者占22.8%。在腘窝处,小隐静脉位于胫神经的后方,在关节缝下方1厘米处距神经最近,平均1.8毫米,向上两者间距略有增加。腓总神经位于小隐静脉外侧,在膝关节缝以上9厘米处距静脉最近,向下间距逐渐加大。由于腓肠外侧皮神经和腓肠神经交通支呈向外凸的弧形下行,其上、下端距静脉较近,而中上份距静脉最远。腓肠外侧皮神经在第2水平处距静脉最远,平均为30毫米,腓肠神经交通支在第一水平处最远,平均17毫米。交通支在第5水平处与腓肠内侧皮神经吻合时距小隐静脉最近(<3毫米)腓肠内侧皮神经与小隐静脉关系较紧密,在下行过程中,46%的神经穿行于肌肉浅表层中,行走一定距离后再潜出。它与静脉基本呈深浅位置伴行,由上至下,间距逐减。腓肠神经与小隐静脉关系最为密切,从合成处开始,它与小隐静脉逐渐相贴下行,多位于静脉外侧,部分标本中两者有交叉现象,交叉时静脉多在浅层,以神经由外侧交叉至静脉内侧者为多见。小隐静脉与腓肠神经各具有独立的筋膜套筒。对小隐静脉与周围神经关系的临床意义进行了讨论,与国内外有关资料进行了比较。
The relationship between the saphenous vein and its peripheral nerves was observed on the lower extremities of 33 adults (26 males, 7 females, and 66 sides). From the knee seam down to the lateral malleolus tip is divided into seven equally divided planes, measuring the distance between the saphenous vein and the adjacent nerves in each plane. Small saphenous vein through the tibial nerve medial injection of popliteal vein (77.2%), through the tibia and peroneal nerve injection accounted for 22.8%. At the popliteal fossa, the small saphenous vein is located posterior to the tibial nerve, nearest the nerve 1 cm below the joint joint, averaging 1.8 mm, with a slight increase in spacing upwards. The common peroneal nerve is located outside the small saphenous vein, 9 cm above the knee joints from the venous nearest, downward interval gradually increased. Due to the lateral sural nerve and sural nerve traffic showed downward convex arc, the upper and lower end closer to the vein, while the upper and the most far from the vein. The lateral sural cutaneous nerve at the second level is farthest from the vein with an average of 30 mm and the sural nerve traffic branch is furthest at the first level with an average of 17 mm. The branch of the traffic branch closest to the saphenous vein (<3 mm) at the 5th level coincides with the medial sural cutaneous nerve. The medial sural cutaneous nerve has a close relationship with the saphenous vein, and 46% of the nerves traverse the muscle In the superficial layer, walk a certain distance and then submerge. It is basically deep and venous venous position, from top to bottom, spacing down. Sural nerve and the most closely related to the small saphenous vein, from the beginning of synthesis, it gradually phase with the small saphenous vein attached to the line, and more located in the lateral venous, some of the specimens have a cross, the more cross-vein in the superficial, with nerve From the outside cross to the veins are more common. Small saphenous vein and sural nerve with independent fascia sleeve. The clinical significance of the relationship between the small saphenous vein and peripheral nerves was discussed and compared with the relevant data at home and abroad.