| Corona Mortis血管解剖学研究及其临床意义 |
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Received:July 15, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 洪华兴 |
HONG Hua-xing |
台州医院骨科,浙江台州317000 |
Department of Orthopaedics,Taizhou Hospital of Zhejiang Province,Taizhou 317000,Zhejiang,China |
tzyyhhx@126.com |
| 陈海啸 |
CHEN Hai-xiao |
台州医院骨科,浙江台州317000 |
Department of Orthopaedics,Taizhou Hospital of Zhejiang Province,Taizhou 317000,Zhejiang,China |
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| 洪正华 |
HONG Zheng-hua |
台州医院骨科,浙江台州317000 |
Department of Orthopaedics,Taizhou Hospital of Zhejiang Province,Taizhou 317000,Zhejiang,China |
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| 潘志军 |
PAN Zhi-jun |
浙江大学医学院附属第二医院骨科 |
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| 林列 |
LIN Lie |
台州医院骨科,浙江台州317000 |
Department of Orthopaedics,Taizhou Hospital of Zhejiang Province,Taizhou 317000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2006年19卷，第6期，第355-357页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨闭孔血管和髂外血管在腹股沟区的分支,为减少髂腹股沟入路术中出血提供解剖学基础。
方法:对25具新鲜中国成人尸体标本共50侧半骨盆进行解剖学研究,观测闭孔血管和髂外血管在腹股沟区的分支及其吻合支(CoronaMortis血管)的大小、出现率、吻合血管行径和吻合血管至耻骨联合的距离。
结果:72%(36侧)耻骨上支表面至少存在1条血管吻合支,其中28%(14侧)存在2条或3条血管吻合支,24%(12侧)同时存在动脉吻合支和静脉吻合支。耻骨上支表面的血管吻合支平均直径2.6mm(2.0～4.2mm)。血管吻合支紧贴耻骨上支或髂耻隆起,几乎垂直地下行于髋臼窝壁或耻骨支后方,经闭膜管出盆腔,血管吻合支与耻骨联合的平均距离52mm(38～68mm)。在此区域手术以及髋臼或骨盆前环骨折极易损伤CoronaMortis血管。
结论:闭孔血管和髂外血管的吻合支较粗,出现率高,位于耻骨上支表面。髂腹股沟手术入路应特别注意CoronaMortis血管的存在。 |
| [关键词]:解剖学 Corona Mortis血管 髂骨 血管 |
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| Anatomic study of Corona Mortis blood vessel and its clinical significance |
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Abstract:
Objective:To observe branches of obturator blood vessels and external iliac blood vessels at inguinal region,so as to provide anatomic basis for reducing hemorrhage in ilioinguinal approach.
Methods:Twenty-five pelvis specimens of fresh native adult corpse with intact soft tissues（50 hemi-pelvises）were observed in the study.All vessels with diameter more than 2 mm,connecting with obturator system and external iliac systems,were identified and their courese were recorded.The distance from pubic symphysis to the vascular connections between the obturator and external iliac systems was measured.The incidence of vascular anastomosis were studied.
Results:The dissections results showed 72 percent of cadaveric sides（36 sides in 50 hemi-pelvises）had at least one vessel communicating between the obturator system and external iliac or inferior epigastric systems on the superior pubic ramus.Among them,28 percent（14 sides in 50 hemi-pelvises）had two or three vessels,and 24 percent（12 sides in 50 hemi-pelvises）contained both arterial and venous conduits.The average diameter of vessels was 2.6 mm（2.0~4.2 mm）.The distance from pubic symphysis to the vascular connections between the obturator and external iliac systems was 52 mm（38~68 mm）.It coursed over the superior pubic ramus or iliopubic eminence vertically to enter the obturator foramen.It is easily damaged in the ilioinguinal approach as an anterior approach to the acetabulum and pelvis for the operative treatment of anterior wall acetabular and anterior column pelvic fractures.
Conclusion:Vascular connections between the obturator system and external iliac or inferior epigastric systems locates over the superior pubic ramus at high incidence and is thicker in diameter.It courses over the superior pubic ramus vertically to enter the obturator foramen and exits the pelvis.Attention needs to be paid to corona mortis vessels locating over the superior pubic ramus during the ilioinguinal approach as an anterior approach to the acetabulum and pelvis in the operative treatment of acetabular and pelvic fractures. |
| KEYWORDS:Anatomy Corona mortis vascular Ilium Blood vessels |
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| 中文格式: | 洪华兴,陈海啸,洪正华,潘志军,林列.Corona Mortis血管解剖学研究及其临床意义[J].中国骨伤,2006,19(6):355~357 |
| 英文格式: | HONG Hua-xing,CHEN Hai-xiao,HONG Zheng-hua,PAN Zhi-jun,LIN Lie.Anatomic study of Corona Mortis blood vessel and its clinical significance[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(6):355~357 |
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