Stoppa入路死亡冠的临床解剖学分析  

Clinical anatomic study of corona mortis in Stoppa approach

作　　者：王德超[1] 李奎[1] 曹鹏克[1] 栾丰年[1] 崔冰[1] 宁宇[1] 张冰[1] 

机构地区：[1]河南省漯河医学高等专科学校第二附属医院骨五科,河南漯河462300

出　　处：《解剖科学进展》2017年第2期134-136,共3页Progress of Anatomical Sciences

基　　金：河南省高等学校重点科研项目(16B320013)

摘　　要：目的研究分析改良Stoppa入路死亡冠血管(corona mortis)的临床解剖学情况。方法模拟改良的Stoppa入路技术,选取2016年1月至3月6具成人尸体标本(12侧半骨盆)作为研究对象,对其进行解剖学分析。在完成相关资料分析之后,比较调查死亡冠血管的出现率、死亡冠血管的长度、死亡冠血管的直径大小以及死亡冠血管到耻骨联合以及髂耻隆起之间的距离等情况。结果有10侧死亡冠血管存在,发生率为83.33%,其中动脉型9.4%,静脉型61.8%,混合型28.8%。死亡冠的长度为(32.1±2.6)mm,直径(2.5±0.1)mm,死亡冠血管至髂耻隆起距离(20.3±2.0)mm,至耻骨联合距离(54.9±3.0)mm,死亡冠血管紧贴耻骨支移动度不大。结论死亡冠血管的出现率和变异度较高,最好实施骨膜下剥离干预。Objective To investigate the summary of clinical anatomy of corona mortis vessels in Stoppa approach.Methods Between January 2016 and March 2016,6 pelvis specimens of adult cadavers（12 hemi-pelvises） were dissected via Stoppa approach to observe corona mortis vessels. The incidence, length, diameter, distance between the anastomotic vessels and symphysis pubis or ilio-pectineal elevation were measured.Results Among the 12 lateral hemi-pelvises there were 10 lateral hemi-pelvises with the corona mortis vessels,the incidence was 83.33%（9.4% arterial; 61.8% venous; 28.8% combined）. The average length of corona mortis vessels between the obturator vessels and the external iliac vessels or inferior epigastric vessels was（32.1±2.6）mm,the average diameter of the corona mortis vessels was（2.5±0.1）mm,the distance from the corona mortis vessels to the ilio-pectineal elevation averaged（20.3±2.0）mm,and to the symphysis averaged（54.9±3.0）mm. The corona mortis vessels were just over the superior pubic ramus with only little movement. Conclusion The corona mortis vessel has a high incidence rate and more variability,stripping under the periosteum is recommended.

关 键 词：Stoppa入路 死亡冠 解剖学 吻合支 

分 类 号：R322.1[医药卫生—人体解剖和组织胚胎学]