Delpierre V, Coquerel-Beghin D, Aktouf A, Auquit-Auckbur I, Milliez P Y
Service de chirurgie plastique, reconstructrice et esthétique et chirurgie de la main, hôpital Charles-Nicolle, centre hospitalier universitaire de Rouen, France.
Ann Chir Plast Esthet. 2012 Dec;57(6):575-9. doi: 10.1016/j.anplas.2011.10.006. Epub 2011 Dec 27.
More than the first scar present from the birth, the umbilicus is the original and fundamental element, which characterizes the abdomen. It can be analyzed under various aspects: symbolic, artistic, anatomical and morphometric. Its place takes on all its importance in frame of the abdominal plastic surgery. We tried to measure how the position of the umbilicus varies with the age, the weight or the sex… to optimize our abdominoplasties.
We realized a study on the umbilicus from 70 persons to determine its abdominal position in the general population. Some objective measurements between bones projections and umbilicus were realized and analyzed with various parameters (weight, age especially…). Depth of the umbilicus, its situation compared the median line, its dimensions, were noted for each patient.
Population was composed of 39 women and 31 men, 35.4 years on average. The umbilicus was measured one centimeter under the line joining the top of the iliac crest. In the group of men, its situated lower. We noted a positive correlation between body mass index (BMI) and height of the umbilicus. More the BMI increases, lower is the umbilicus (R=0,72, P<10(-5)). Similarly, the umbilicus is lower when the age increases (R=0,36, P=0,0022). Its average depth was 15 mm, correlated to BMI (R=0,60, P<10(-7)). Some data about dimensions and form were precised.
This anatomical and morphometric study could allow a more precise determination of the position, dimensions and form of the umbilicus during abdominoplasty.
脐部不仅仅是出生时就存在的第一道疤痕,更是腹部的原始且基本的特征元素。它可以从多个方面进行分析:象征意义、艺术价值、解剖结构和形态测量。在腹部整形手术中,脐部的位置至关重要。我们试图测量脐部位置如何随年龄、体重或性别等因素变化,以优化我们的腹壁成形术。
我们对70人进行了一项关于脐部的研究,以确定其在普通人群中的腹部位置。我们对骨骼突出部位与脐部之间进行了一些客观测量,并使用各种参数(尤其是体重、年龄等)进行分析。记录了每位患者脐部的深度、与中线的相对位置及其尺寸。
研究人群包括39名女性和31名男性,平均年龄35.4岁。脐部位于连接髂嵴顶部的线下方1厘米处。在男性组中,脐部位置更低。我们发现体重指数(BMI)与脐部高度之间存在正相关。BMI越高,脐部位置越低(R = 0.72,P < 10^(-5))。同样,随着年龄增长,脐部位置也会降低(R = 0.36,P = 0.0022)。脐部平均深度为15毫米,与BMI相关(R = 0.60,P < 10^(-7))。还明确了一些关于尺寸和形状的数据。
这项解剖学和形态测量学研究能够在腹壁成形术中更精确地确定脐部的位置、尺寸和形状。