【摘要】 目的:为股骨前外侧手术入路提供解剖学资料。方法:60侧成人尸体标本上,按股骨前外侧手术入路对股外侧肌神经和旋股外侧动脉降支的走行和毗邻关系进行了观察。结果:股外侧肌神经恰位于股骨前外侧入路切口的深面,横跨股骨干,与旋股外侧动静脉的降支伴行,在距髂前上棘(149.6±105.4)mm、耻骨结节(136.8±113.2)mm处分支进入股外侧肌。结论:行股骨前外侧入路显露股骨上1/3时,用缝线标志或用橡皮筋牵拉股外侧肌神经及其伴行的旋股外侧动静脉降支至一侧予以保护。更多还原

【Abstract】 Objective:To provide anatomical basis for anterolateral approach to femur.Methods:60 sides of adult cadavers’ lower limb were employed to investigate the anterolateral approach to femur,the course and adjacent structure of vastus lateralis nerve and descending branch of lateral circumflex femoral artery were observed.Results:The vastus lateralis nerve passed down beneath anterolateral approach to femur,bestrided over the shaft of femur,then entered into vastus lateralis with descending branch of lateral circumflex femoral artery and vein(149.6±105.4 mm to anterior superior iliac spine;136.8±1132mm to pubis tubercle).Conclusion:In anterolateral approach to femur ,1/3 superior part of femur was discovered,vastus lateralis with descending branch of lateral circumflex femoral artery and vein should be protected by suture and elastic tape.[更多还原