冠状窦及其属支的应用解剖学研究

发布时间：2018-03-25 08:03

本文选题：冠状窦　切入点：左室后静脉　出处：《吉林大学》2007年硕士论文

【摘要】： 冠状窦(coronary sinus,CS)位于心脏冠状沟后部,在左心房和右心房之间,借冠状窦口开口于右心房。其主要功能是汇集心肌的静脉血,使血液留入右心房,是心脏静脉脉系统的重要组成部分。冠状窦的属支包括心大静脉、心中静脉、心小静脉、左室后静脉和左房斜静脉等。冠状静脉窦及其属支存在个体差异,为了防止手术中冠状静脉窦的损伤,就需要熟悉冠状窦的解剖结构及其属支的变异情况,以及冠状窦瓣膜的形态以及冠状窦口的开口方向。本研究利用24具防腐成人尸体标本,解剖观察冠状窦及其属支的形态,走行,管径,长度以及与周围结构的相互毗邻关系。通过重要结构的量化分析,所得的解剖学数据可作为心导管术中参考,为临床行逆行灌注心脏造影和消融导管的插入等技术提供解剖学依据,应用于临床实践。
[Abstract]:Coronary sinus sinus coronary sinus CSS is located in the posterior part of the coronary sulcus of the heart. Between the left and right atrium, the coronary sinus opens to the right atrium through the orifice of the coronary sinus. Its main function is to collect the venous blood of the myocardium and keep the blood in the right atrium. The branches of the coronary sinus include the great cardiac vein, the heart vein, the small cardiac vein, the left posterior ventricular vein and the left atrial oblique vein. In order to prevent coronary sinus injury during operation, it is necessary to be familiar with the anatomic structure of coronary sinus and the variation of its branches, the shape of coronary sinus valve and the orifice direction of coronary sinus orifice. 24 antiseptic adult cadavers were used in this study. Anatomical observation of the shape, path, diameter, length and relationship with the surrounding structure of the coronary sinus and its branches. Through quantitative analysis of the important structures, the anatomical data obtained can be used as a reference for cardiac catheterization. It provides anatomic basis for retrograde perfusion cardiography and catheter insertion, and is used in clinical practice.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R322

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