摘要
目的:为臀小肌髂骨瓣移位髓臼成形术提供应用解剖学基础。方法:在40侧成人臀部标本上对臀小肌的起点、位置、血供、髋臼上方臀小肌深面髂骨的血供等进行了观测,并在标本上进行模拟术式设计。结果:臀小肌位于臀大肌的深面,起点位于臀前线与臀下线之间的髂骨外面,其营养动脉主要来自臀上动脉的深下支和上支的分支,出现率分别为82.4％和70.6％,管径分别为1.36±0.41mm和1.43±0.36mm。臀小肌附着点上缘至髋臼上缘距离为31.75±6.19mm.髋臼上方髂骨体的血供主要来自臀上动脉深下支和臀小肌营养动脉的骨膜支。结论;臀小肌深面的髂骨血供丰富,可设计以臀小肌为蒂的髂骨瓣转位行髋臼成形术。
Objective: To provide anatomical basis for a ilic bone flap with the gluteus minimus for reconstructing acetabular displasia. Methods: The location, attachment and blood supplies of the gluteus minimus and the upper part of the ilium the acetabulum were observed and measured in 40 sides of adult gluteal specimens. Results; The gluteus minimus lay deep to the gluteus medius. It started from the ilium between the anterior and inferior gluteal lines. Its blood supplies mainly came from superior (70. 6%) and inferior (82. 4%) deep branches of the superior gluteal artery. Their diameters were 1. 43 ±0. 36 mm and 1. 36 ±0. 41 mm respectively. The distance from the upper border of the attachment of the gluteus minimus to the acetabulum was 31. 75±6.19 mm. The blood supplies of the upper part of the ilium mainly came from the inferior deep branch of the superior gluteal artery and the neutrient arteries of the gluteus. Conclusion: The blood supplies of the upper ilium of the acetabulum are very sufficient, a ilic bone flap pedicled with the gluteus minimus can be transposed for the reconstruction of developmental acetabular displasia.
出处
《解剖学杂志》
CAS
CSCD
北大核心
2000年第3期271-274,共4页
Chinese Journal of Anatomy
关键词
臀小肌
髋臼成形术
髂骨瓣移位
应用解剖
gluteus minimus
ilium
muscle-bone flap
acetabular reconstruction
