收肌管压迫综合征的解剖学研究  

An Anatomyics Study of Adductor Danal Compression syndrom

作　　者：单云官[1] 王辉[1] 张玉和[1] 魏焕萍[1] 陈明禄[1] 唐存贵[1] 贝俊杰[1] 

机构地区：[1]武警医学院基础部解剖学教研室,天津300162

出　　处：《解剖与临床》2004年第1期17-18,共2页Anatomy and Clinics

摘　　要：目的 :为收肌管压迫综合征的临床诊断和手术治疗提供相关的解剖学依据。方法 :使用游标卡尺 ,对 6 0侧福尔马林固定下肢标本的收肌管及其血管鞘的相关形态结构进行观测。结果 :收肌管长为 (6 7.2 9± 9.33)mm ,收肌管大收肌腱板厚、长和上口处宽径分别为 (1.2 3± 0 .4 5 )mm、(5 7.6 1± 7.0 1)mm、(13.11± 2 .6 6 )mm ,血管鞘在收肌管上口处的前后径和左右径分别为 (13.5 5± 3.4 5 )mm、(9.84± 2 .70 )mm ,下口处的前后径和左右径分别为 (8.4 6±2 .36 )mm、(18.17± 5 .4 0 )mm ;收肌管上口的横断面为三角形 ,可分为前壁、后壁和外侧壁 ,三者宽度分别为 (16 .15±2 .4 9)mm、(17.11± 3.16 )mm、(17.33± 3.5 9)mm ;下口 (收肌腱裂孔 )的横断面为近椭圆形 ,左右径和前后径分别为(30 .10± 5 .77)mm、(11.73± 2 .19)mm。结论 :收肌管相关结构测量结果可为收肌管压迫综合征的病因诊断及手术治疗提供参考。Objective:To provide an anatomical basis for clinical diagnosis and operative treatment of adductor canal compression syndrom.Methods:The scope of movement of vessels sheaths at adductor canal were measured on 60 sides of adult legs' specinents.Results:The length of adductor canal was (67.29±9.33) mm;the thickness,the length and the entrance' width of adductor tendon were (1.23±0.45)mm?(57.61±7.01)mm and (13.11±2.67)mm;the around way and the control way of the entrance of vessels′ sheaths at adductor canal were (13.55±3.45) mm and (9.84±2.70) mm;the around way and the control way of the exit were (8.46±2.36)mm and (18.17±5.40)mm;the width of the ventral wall,the back wall and the side wall of the upper adductor hiatus were (16.15±2.49)mm,(17.11±3.16)mm,and (17.33±3.50)mm;the control way and around way of the lower adductor hiatus were (30.10±5.77)mm and (11.73±2.10) mm.Conclusion:These results will provide some useful references for the diagnosis and operation of the disease.

关 键 词：收肌管压迫综合征 解剖学 诊断 手术治疗 血管鞘 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]