旋股外侧动脉升支肌骨膜髂骨支的应用解剖  

Applied anatomical study of musculoperiosteal iliac branch of the ascending branch of lateral circumflex femoral artery

作　　者：李伯瑞 赵德伟[2] 覃开蓉 刘保一[2] 邱兴[2] 王铁男 肖驰 应嘉蔚 LI Borui;ZHAO Dewei;QIN Kairong;LIU Baoyi;QIU Xing;WANG Tienan;XIAO Chi;YING Jiawei(School of Biomedical Engineering,Faculty of Electronic Information and Electrical Engineering,Dalian University of Technology,Dalian,Liaoning Province 116024,China;Department of Orthopaedics,Affiliated Zhongshan Hospital of Dalian University,Dalian,Liaoning Province 116001,China)

机构地区：[1]大连理工大学电子信息与电气工程学部生物医学工程学院,辽宁大连116024 [2]大连大学附属中山医院骨科,辽宁大连116001

出　　处：《中华显微外科杂志》2020年第6期574-577,共4页Chinese Journal of Microsurgery

基　　金：卫生部重点研究专项(201402016)。

摘　　要：目的观测旋股外侧动脉(LFCA)升支肌骨膜髂骨支走行和分布,为应用带LFCA升支的肌骨膜髂骨瓣治疗股骨头坏死提供解剖学依据。方法2018年5月至2019年5月,对9具尸体的18个髋部进行解剖。髋部部位以髂前上棘及耻骨联合作为坐标轴的定位点,以耻骨结节为原点,以从耻骨联合到髂前上棘的直线为x轴(以mm为单位),以与身体矢状面平行的直线为y轴(以mm为单位),观测LFCA升支肌骨膜髂骨支的发出点、走行、分支和外径等情况。对所得数据用SPSS 19.0进行统计学分析,P<0.05为差异有统计学意义。结果LFCA升支髂嵴支的肌骨膜髂骨支交叉点坐标为[x,(84.47±7.80)mm;y,(27.60±5.93)mm],从髂前上棘到髂嵴支分叉处距离为(2.85±0.84)(2.0~3.6)cm;骨膜髂骨支直径(0.23±0.06)mm。结论以LFCA升支肌骨膜髂骨支支配的髂骨瓣具有手术应用价值。Objective To observe musculoperiosteal iliac branch of the ascending branch of the lateral circumflex femoral artery(LFCA),and to provide an anatomical basis for the application of musculoperiosteal iliac flap in the treatment of femoral head necrosis.Methods From May,2018 to May,2019,18 hips of 9 cadavers were dissected.A coordinate system(x,y)was designed to document the exact location of the findings:the pubic tubercle was set as the origin.A line drawn from the pubic tubercle to the anterior superior iliac spine was set as the x axis(in millimetres),and a line parallel to the sagittal plane of the body was set as the y axis(in millimetres).The location,distribution and outer diameter of the musculoperiosteal iliac flap branch of ascending branch of LFCA were investigated.SPSS 19.0 was used for statistical analysis.When P<0.05,there was a statistical difference.Results The coordinates of the intersection point of the periosteal iliac branch of the iliac crest branch was[x,(84.47±7.80)mm;y,(27.60±5.93)mm].The distance from the anterior superior iliac spine to the bifurcation of the iliac crest was(2.85±0.84)(2.0-3.6)cm.The musculoperiosteal iliac branch had an average diameter at(0.23±0.06)mm.Conclusion Musculoperiosteal iliac flap with ascending branch of LFCA is surgical feasible and applicable.

关 键 词：旋股外侧动脉 肌骨膜髂骨支 股骨头坏死 应用解剖 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]