腹股沟浅层淋巴结及其营养血管的解剖学研究  

Anatomical study of superficial inguinal lymph nodes and its nutrient vessels

作　　者：何锡珠 梁海彬 李泽宇[2] 曾德庆 柯武妹 欧阳钧[2] 王海文 He Xizhu;Liang Haibing;Li Zeyu;Zeng Deqing;Ke Wumei;Ouyang Jun;Wang Haiwen(Department of Geriatric Intensive Care,Guangdong Academy of Medical Sciences,Guangdong Provincial People's Hospital Affiliated to Southern Medical University,Guangdong Institute of Gerontology,Guangzhou 510080,China;Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics,Department of Human Anatomy,School of Basic Medical Sciences,Southern Medical University,Guangzhou 510515,China;Chashan Hospital of Dongguan,Dongguan 523378,China)

机构地区：[1]广东省老年医学研究所,南方医科大学附属广东省人民医院,广东省医学科学院,老年重症医学科,广东广州510080 [2]南方医科大学人体解剖学教研室,广东省数字医学与医学生物力学重点实验室,广东广州510515 [3]东莞茶山医院,广东东莞523378

出　　处：《中国临床解剖学杂志》2024年第6期622-626,共5页Chinese Journal of Clinical Anatomy

基　　金：东莞市社会发展科技(重点)项目(20221800905282)。

摘　　要：目的 明确腹股沟浅层淋巴结的数量、大小、分布规律及其营养动脉的来源与外径,为临床带淋巴血管蒂皮瓣移植、淋巴结移植治疗肢体水肿等提供解剖学依据。方法 对4具(8侧)成年尸体的腹股沟区进行解剖,以大隐静脉汇入股静脉处为原点划分象限,使用Photoshop测量法测量并统计各象限浅层淋巴结及其营养血管。结果 8侧共统计38个淋巴结,其中象限一(2.3±0.7)个,象限二(0.8±0.7)个,象限三(1.3±0.7)个,象限四(0.5±0.5)个。象限一分别与象限二,象限三,象限四比较,差异均有统计学意义(P<0.01)。淋巴结主要动脉来源与外径情况如下:象限一为旋髂浅动脉;腹壁浅动脉;股深动脉,(0.53±0.23)mm;象限二为旋髂浅动脉;腹壁浅动脉,(0.56±0.09)mm;象限三为股深动脉,(0.81±0.17)mm;象限四为股深动脉,(0.58±0.11)mm。结论 象限一内的淋巴结数量多于其他三个象限,且面积相对较小,营养动脉外径大小满足显微外科血管缝合要求,可作为临床带淋巴血管蒂皮瓣移植、淋巴结移植的备选区域。Objective To determine the number,size and distribution of superficial inguinal lymph nodes,as well as the source and external diameter of nutrient arteries,so as to provide anatomic basis for clinical flap transplantation with lymphatic vessel pedicle and lymph node transplantation in the treatment of limb edema.Methods The inguinal region of 4 adult cadavers(8 sides)was dissected,and the quadrants were divided with the great saphenous vein as the origin.The superficial lymph nodes and their nutrient vessels were measured and counted by Photoshop.Results A total of 38 lymph nodes were detected on 8 sides,including(2.3±0.7)nodes in Quadrant 1,(0.8±0.7)nodes in quadrant 2,(1.3±0.7)nodes in Quadrant 3,and(0.5±0.5)nodes in quadrant 4.Quadrant 1 was compared with Quadrant 2,Quadrant 3 and Quadrant 4,respectively,and the differences were statistically significant(P<0.01).The sources and external diameters of the main arteries in the lymph nodes were as follows:Quadrant one was the superficial circumflex iliac artery,superficial abdominal artery,deep femoral artery,(0.53±0.23)mm;Quadrant two was the superficial circumflex iliac artery,superficial abdominal artery,(0.56±0.09)mm;Quadrant 3 was the femoral deep artery,(0.81±0.17)mm;Quadrant 4 was the femoral deep artery,(0.58±0.11)mm.Conclusions The number of lymph nodes in Quadrant 1 is more than that in the other three quadrants,and the area is relatively small.The external diameter of the nutrient artery meets the requirements of microsurgical vascular suture,and can be used as a candidate area for clinical flap transplantation with lymphatic vessel pedicle and lymph node transplantation.

关 键 词：腹股沟 淋巴结 解剖学 

分 类 号：R322.48[医药卫生—人体解剖和组织胚胎学]