股骨头血供:我国《外科学》教材之因袭及其商榷  

Blood supply to the femoral head: discussion of textbook "Surgery"

作　　者：梅炯[1] MEI Jiong.(Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated to the Sixth People＇s Hospital, Shanghai, 200233, PR)

机构地区：[1]上海交通大学附属第六人民医院骨科,200233

出　　处：《中国骨与关节杂志》2016年第12期949-952,共4页Chinese Journal of Bone and Joint

基　　金：国家自然科学基金(81271991)

摘　　要：我国高等医药院校的《外科学》教材从1950年的试用版到现在的第8版,内容一直在充实更新,但关于股骨头血供的描述,内容几乎未变。基于我国教科书的发展历史,结合国内外股骨头血供的研究进展,现就《外科学》教材中关于股骨头血供的描述探讨如下。一、我国医学教科书的发展概略我国现代意义上的医学教材,是源于清末民初西方医学在我国的传播以及随之而建立的教会医学堂。Modern medicine textbooks first appeared in China at the end of the 19 th century when Western missionaries initiated church medical schools in several Chinese cities. From early oral notes to the translation of Western medical books, Chinese medicine textbooks basically achieved localization in the 1960 s after repeated practice and exploration. The content in the textbook ＂Surgery＂ has been substantially updated from the 1950＇s trial version to the current eighth edition; however, that about the blood supply to the femoral head has been kept almost unchanged. The descriptions as well as the illustrations are almost the same in the first edition of the unified ＂Surgery＂ in 1979 to the eighth edition published in 2014. According to domestic and foreign research, content regarding the blood supply to the femoral head in Chinese surgical textbooks has not been properly updated and follows the literature from more than 60 years ago. In this paper, based on a review of the development of medicine textbooks, we compared the content about the blood supply to the femoral head in more than 10 versions of textbooks since the 1950 s, including the brief Soviet textbooks. It is suggested that the content about the blood supply to the femoral head in current textbooks should be updated and modified according to the latest research progress and the textbooks currently used in the United States. For example, the terminal branches of the medial and lateral femoral circumflex arteries should be termed as ＂retinacular arteries＂ as described in most modern literatures, rather than ＂lateral epiphysial artery＂, ＂superior metaphysial artery＂, and ＂inferior metaphyseal artery＂.

关 键 词：教科书 解剖学 局部 股骨头 矫形外科学 

分 类 号：R68[医药卫生—骨科学]