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带肌蒂髂骨瓣转位治疗腰椎滑脱的应用解剖 被引量:3

Applied anatomy of muscular pedicled ilium bone flap for the treatment of lumbar spondylolisthesis
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摘要 在38侧经红色乳胶灌注的成人尸体上,观测了腰髂肋肌的形态、毗邻和髂嵴后半的重要附着结构及它们的血液供应。腰髂肋肌多以坚厚肌腱起于髂嵴后半,起端可见分为浅、深两部。深部有76%露于浅部外侧缘之外约1.2cm,肌内、外侧缘至第12助长度分别为12.5cm和11.5cm;该段中间的宽度和厚度分别为4.0cm和1.6cm。肌肉的血液供应为多源性,其上、中、下部分别为肋下动脉第1腰动脉,第2、3腰动脉及第3、4腰动脉供应。第3、4腰动脉分支供应髂骨并发支与臀上动脉浅、深上支在髂骨背侧后部构成吻合。上述资料为带腰髂肋肌髂骨瓣修复腰椎滑脱术提供了解剖学基础。 he shape of lumbus iliocostal muscle,its blood supply and relation with the iliac crist werestudied on 38 sides of adult cadavers.The muscle stretches from the iliac crist by two parts ofstrong tendous,the superial and deep parts.The deep part stretches out 1.2 cm from superficialpart.The medial and lateral length of the muscle is 12.5 cm and 11.5 cm separately,and themiddle part has a width of 4.0 cm and a thickness of 1. 6cm. The stiperior,middle and inferiorparts of the muscle are nourished by stibcostal arteries and lumbar arteries. Branches from thethird and fourth lumbar arteries anastomoses with the superficial aiid deep superior branches ofsuperior gluteal artery at the region posterior to ilium,According to the anatomical study iliumbone flap with muscular pedicle is designed for the treatment of lumbar spondylolisthesis. Someoperative notifications are discussed.
出处 《中国临床解剖学杂志》 CSCD 北大核心 1995年第3期188-190,共3页 Chinese Journal of Clinical Anatomy
关键词 竖脊肌 髂嵴 带肌蒂髂骨瓣 腰椎滑脱 erector spinal muscle iliac crest bone flap lumbar spondylolithesis
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