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微创髋关节手术前路的应用解剖学

The applied anatomy of anterior approach for minimally invasive hip joint surgery.

作者信息

Chen Li Hua, Huang Qun Wu, Wang Wen Jin, He Zheng Rui, Ding Wen Long

机构信息

Department of Anatomy, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.

出版信息

Clin Anat. 2009 Mar;22(2):250-5. doi: 10.1002/ca.20750.

Abstract

The anterior approach for minimally invasive hip joint surgery is one of the common approaches utilized in hip joint surgery. Here, we report the results of dissections in 60 sides of human adult cadavers. We observed and measured the branches of the superficial circumflex iliac artery, the lateral femoral cutaneous nerves, the lateral circumflex femoral artery, and the superior gluteal nerves in the experiment via the anterior approach for minimally invasive hip joint surgery. The relationship between these structures and the anterior approach was studied. The present study provides important data demonstrating the location, path of dominant structures that might be encountered during the surgery and their relationships with the surgical incision. These data may allow surgeons performing the anterior approach for hip joint surgery to minimize the risk of neurovascular injury.

摘要

微创髋关节手术的前入路是髋关节手术中常用的方法之一。在此,我们报告了对60侧成人尸体进行解剖的结果。在实验中,我们通过微创髋关节手术的前入路观察并测量了旋髂浅动脉、股外侧皮神经、旋股外侧动脉和臀上神经的分支。研究了这些结构与前入路之间的关系。本研究提供了重要数据,证明了手术过程中可能遇到的主要结构的位置、走行及其与手术切口的关系。这些数据可能使进行髋关节手术前入路的外科医生将神经血管损伤的风险降至最低。

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