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腹腔镜视角下骨盆髋臼区相关结构的解剖学研究及其临床应用

Anatomical survey of pelvic acetabular area structures under laparoscopic view and its clinical application

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【作者】 吴宏峰; 庆思源; 古慕峰; 毛志远; 王凯; 秦晓东; 张永杰;

【Author】 Wu Hongfeng;Qing Siyuan;Gu Mufeng;Mao Zhiyuan;Wang Kai;Qin Xiaodong;Zhang Yongjie;Department of Anatomy, The First Affiliated Hospital of Nanjing Medical University;Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University;

【通讯作者】 秦晓东;张永杰;

【机构】 南京医科大学解剖学系; 南京医科大学第一附属医院骨科;

【摘要】 目的 :通过对骨盆髋臼区相关结构数据测量,为临床工作提供解剖学支持。方法 :双侧尸体解剖,测量死亡冠相关解剖学数据,以及血管变异情况。结果 :存在死亡冠标本中,耻骨联合上缘至死亡冠与耻骨上支交点的距离为50.92 mm±2.53 mm;耻骨联合上缘至死亡冠与耻骨上支交点连线与冠状轴角度为33.00°±1.50°。所有标本中,耻骨联合上缘至闭孔神经与耻骨上支交点距离为73.20 mm±2.64 mm。耻骨联合上缘至闭孔神经与耻骨上支交点连线与冠状轴角度为60.37°±2.68°;耻骨联合上缘中点至腹壁下动脉起点距离为67.60 mm±3.45 mm。男、女性标本之间差异无统计学意义。应用于临床手术中,取得了较为满意效果。结论 :本研究描述了全腹腔镜视角下治疗骨盆髋臼骨折的解剖学基础,以提高手术的有效性及安全性。

【Abstract】 Objective: To provide anatomical support for clinical practice through data measurement of relevant structures in the pelvic acetabular region. Methods: Bilateral cadaver dissection was performed to measure anatomical data related to the corona mortis, as well as vascular variations. Results: In specimens where the corona mortis was present, the distance from the superior border of the pubic symphysis to the junction of the arcuate line and the superior pubic ramus was 50.92 mm±2.53 mm; the angle between the line connecting the upper edge of the pubic symphysis to this intersection and the coronal axis was 33.00°±1.50°. In all 30 cadavers, the distance from the upper edge of the pubic symphysis to the junction of the obturator nerve and the superior pubic ramus was 73.20 mm±2.64 mm. The angle between the line connecting the upper edge of the pubic symphysis to the junction of the obturator nerve and the superior pubic ramus and the coronal axis was 60.37°±2.68°. The distance from the midpoint of the upper edge of the pubic symphysis to the origin of the inferior epigastric artery was 67.60 mm±3.45 mm. There were no statistically significant differences between male and female cadavers. Satisfactory results were observed in clinical surgeries. Conclusions: This study delineates the anatomical foundation for treating pelvic acetabular fractures from a total laparoscopic perspective, aiming to enhance surgical effectiveness and safety.

【基金】 2023南京医科大学教学名师支持计划(KY216R202305);南京医科大学研究生优质教育资源建设项目(2023C001)
  • 【文献出处】 解剖学杂志 ,Chinese Journal of Anatomy , 编辑部邮箱 ,2025年06期
  • 【分类号】R322.7
  • 【下载频次】8
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