腰骶椎前路大血管的应用解剖学研究  

Applied anatomy of lumbosacral anterior great vessels

作　　者：钱太保[1] 周建生[1] 

机构地区：[1]蚌埠医学院第一附属医院骨科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2009年第6期471-472,共2页Journal of Bengbu Medical College

摘　　要：目的:测量成人腰骶椎前方大血管的有关参数,为设计腰骶前路内固定器提供理论依据。方法:对成人腰骶椎前方大血管的有关参数进行测量。结果:大血管分叉点至腰5椎体下缘垂直距离为(2.61±1.11)cm,至中轴线垂直距离为(1.03±0.40)cm,差异无统计学意义(P>0.05);腰5椎体上缘中点至左、右侧大血管内缘的水平距离分别为(0.34±0.31)cm、(2.15±0.40)cm,腰5椎体下缘中点至左、右侧大血管内缘的水平距离分别为(1.41±0.54)cm、(2.50±0.79)cm,差异均有统计学意义(P<0.01)。结论:腰骶椎前方大血管的分叉点位于脊柱中线的偏右侧,腰骶椎前方中线与右侧大血管内缘距离大于与左侧大血管内缘距离。Objective：To acquire some relevant parameters of the lumbosacral anterior great vessels so as to provide theoretical basis for lumbosacral anterior internal fixation. Methods：The lumbosacral anterior great vessels were measured with a soft ruler. Results：The vertical distance between the bifurcation of lumbosacral anterior great vessels and the inferior border of lumbar 5 was （2.61 ± 1.11 ）cm. The vertical distance between the bifurcation of the lumbosacral anterior great vessel and the vertebral midline was （ 1.03 ±0.40）cm（P 〉0.05）. The distance between the midpoint of superior border of lumbar 5 and the inboard edge of the left and right lumbosacral anterior blood vessel was （0.34 ± 0.31 ） cm and （2.15 ± 0.40） cm, respectively; the distance between the midpoint of inferior border of lumbar 5 and the inboard edge of the left and the right lumbosacral anterior blood vessel was （ 1.41 ± 0. 54） cm and （2.50 ± 0.79）cm, respectively （P 〈 0. 01 ）. Conclnsions ： The bifurcation of the lumbosacral anterior great vessels lies in the right side of the vertebral midline. The distance between the vertebral midline and the inboard edge of the right lumbosacral anterior great vessel is longer than that between the vertebral midline and the inboard edge of the left lumbosacral anterior blood vessel.

关 键 词：腰骶部 血管 解剖学 前路内固定 腰骶前入路 

分 类 号：R681.57[医药卫生—骨科学] R322.12[医药卫生—外科学]