腹股沟区的应用解剖学研究  

Applied anatomy of inguinal region

作　　者：张伟[1] 郭兴[1] 赵爽[1] 

机构地区：[1]邵阳医学高等专科学校解剖学教研室,湖南邵阳422000

出　　处：《局解手术学杂志》2006年第2期82-83,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的为临床腹股沟疝修补术提供解剖学资料。方法选取经甲醛防腐固定的40具成人尸体(男30具,女10具),逐层解剖并用三角板、游标卡尺、量角器对其进行测量。结果腹股沟韧带长(12.0±0.5)cm,宽0.6 cm;腹股沟管长(4.7±0.6)cm;腹股沟镰长(2.2±0.8)cm。腹股沟镰表现为四种类型:联合腱型55侧、结合型12侧、腹横肌腱膜型4侧、肌-腱膜混合型9侧。腹壁下动脉的行程异常占11.3%。腹股沟管后壁可分为两层紧贴的筋膜层,并形成一个卵圆形的区域,其纵径长(2.9±0.7)cm,横径(1.4±0.38)cm。结论腹横筋膜深层较浅层薄弱,加强和重建腹股沟管后壁是腹股沟疝手术成败的关键。Objective To provide the anatomic data for clinical repair of inguinal hernia （IH）. Methods The inguinal structure of 40 adult corpses （30 males, 10 females） fixed by formaldehyde was measured with set square, protractor and vernier caliper. Results The average length of inguinal ligament was （ 12.0 ± 0.5 ） cm and the width was 0.6 cm. The length of inguinal canal was （4.7 ± 0.6） cm and that of inguinal falx was （2.2± 0.8 ） cm. Four types of inguinal canal were observed in both sides of 40 corpses ： the conjoined tendon in 55 sides, conjunction in 12, transversus abdominia aponeurosis in 4 and sarco-aponeurosis in 9. lnferior epigastric artery was abnormal in 9 cases （11.3% ）. The posterior wall of inguinal canal could be divided into two closely-linked fascias and formed an egg-shaped area of （2.9 ± 0.7 ） cm in length and （ 1.4± 0.38 ） cm in width. Conclusion The deep layer of transverse fascia was weaker than superficial layer in these corpses. To strengthen and reconstruct the posterior wall of inguinal canal was the key point in the clinical repair of inguinal hernia （IH）.

关 键 词：腹股沟管 腹股沟韧带 腹股沟镰 腹壁下动脉 

分 类 号：R323[医药卫生—人体解剖和组织胚胎学]