腹股沟管的应用解剖学研究  

Applied anatomy of the inguinal canal

作　　者：赵冬梅[1] 徐清[2] 刘洪付[1] 张力[1] 

机构地区：[1]滨州医学院解剖学教研室,滨州市256603 [2]滨州医学院校医院

出　　处：《滨州医学院学报》2007年第3期169-171,共3页Journal of Binzhou Medical University

摘　　要：目的为临床腹股沟疝修补术提供理论基础。方法用肉眼观察并测量腹股沟区有关结构。结果腹股沟韧带平均长(11.7±1.1)cm,宽(0.6±0.2)cm;腹股沟管平均长(4.7±0.6)cm;腹内斜肌起始有四种类型,肌腱移行处呈现三种类型;腹横肌起始有三种类型;腹股沟镰长(2.2±0.8)cm,有四种类型;髂耻束平均长(6.9±0.8)cm,宽(0.6±0.1)cm,髂耻束并不恒定存在;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(2.8±0.9)cm,横径(1.4±0.5)cm。结论观测值为临床疝修补术提供理论基础和实用数据。Objective To provide theoretical foundation for the repair of direct and indirect inguinal hernias. Methods The surgical anatomy of structure relevant to inguinal region of 30 adult cadavers was observed and measured. Results The average length of inguinal ligament was （ 11.7 ± 1.1 ） cm and the width was （ 0.6 ± 0. 2 ） cm. The length of inguinal canal was （ 4.7 ± 0. 6 ） cm. There were 4 types in the origin of internal oblique muscle of abdomen and 3 types in its tendinous transition. There were 3 types in the origin of transvers muscle of abdomen. The length of inguinal falx was （ 2. 2 ± 0. 8 ） cm. Four types of inguinal canal were observed. The average length and width of iliopubic tract were （ 6. 9 ± 0. 8 ） cm and （ 0.6 ± 0. 1 ） cm. Iliopubic tract didn＇t exist constantly. The posterior wall of inguinal canal could he divided into two closely-linked fascias and formed an egg-shaped area of （ 2. 8 ± 0. 9 ） em in length and （ 1. 4 ± 0. 5 ） cm in width. Conclusion These observations can supply anatomical basis and useful data for the repair of hernias in clinic.

关 键 词：腹股沟管 腹股沟韧带 腹股沟镰 髂耻束 

分 类 号：R323[医药卫生—人体解剖和组织胚胎学]