髋臼骨折前后方手术入路的解剖学研究进展  

Advances in anatomical research of surgical approaches for acetabular fractures

作　　者：肖靖炜 李明 王滇 郭晓东[3] 侯志勇[4] 刘玉新[5] Xiao Jingwei;Li Ming;Wang Dian;Guo Xiaodong;Hou Zhiyong;Liu Yuxin(Health Science Center,Ningbo University,Ningbo 315211;Ningbo No.6 Hospital Affiliated to Ningbo University Medical School,Ningbo 315040;Department of Orthopedics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022;Trauma Emergency Center,The Third Hospital of Hebei Medical University,Shijiazhuang 050051;Department of Anatomy,Ningbo College of Health Sciences,Ningbo 315100,China)

机构地区：[1]宁波大学医学部,宁波315211 [2]宁波大学医学院附属宁波市第六医院,宁波315040 [3]华中科技大学同济医学院附属协和医院骨科,武汉430022 [4]河北医科大学第三医院创伤急救中心,石家庄050051 [5]宁波卫生职业技术学院解剖学教研室,宁波315100

出　　处：《解剖学杂志》2024年第2期154-159,共6页Chinese Journal of Anatomy

基　　金：浙江省医药卫生科技计划项目(2018PY059);宁波市重大科技攻关项目(20211ZDYF020208)。

摘　　要：近10年来髋臼新型钢板、手术入路改良、3D打印等新技术,为治疗髋臼骨折提供了更丰富的选择,但仍存在骨折显露和固定难、手术切口大、术中出血多、手术创伤大等不足。髋臼周围被丰富的血管、神经、淋巴管网络、盆腔脏器、丰厚的肌肉及韧带结构包裹,即使骨科手术机器人操作,也可能造成血管、神经及盆腔脏器的医源性损伤。现就髋臼骨折手术入路结合髋臼周围解剖结构进行综述,旨在按照人体自然存在的解剖生理间隙,探索安全、快速的精准靶向通道手术入路技术。Over the past decade,new technologies such as novel acetabular plates,modified surgical approaches,and 3D printing have enriched the options for treating acetabular fractures.However,challenges persist,including difficulties in fracture exposure and fixation,large surgical incisions,increased intraoperative bleeding,and substantial surgical trauma.As acetabulum is surrounded by a network of blood vessels,nerves and lymph vessels,pelvic organs,and abundant muscles and ligaments,iatrogenic injury can easily occur to the surroundings,even with the use of orthopedic surgical robots in acetabular fracture operation.This article reviews the surgical approach for acetabular fractures,taking into account the adjacent anatomical structures,and aims to explore a safe,fast and precise surgical targeted approach by aligning with the anatomical and physiological spaces within the human body.

关 键 词：髋臼 髋关节 骨折 解剖学 手术入路 

分 类 号：R322.7[医药卫生—人体解剖和组织胚胎学]