Grier D, Hartnell G
Department of Radiodiagnosis, Bristol Royal Infirmary.
Br J Radiol. 1990 Aug;63(752):602-4. doi: 10.1259/0007-1285-63-752-602.
In a survey of the superficial landmarks used to select the site of puncture of the femoral artery for angiography, the inguinal skin crease was most popular, preferred by 39.2% of angiographers. The maximal femoral pulse irrespective of the position of the skin crease was the next most popular landmark (24.7%). Bony landmarks were least popular (13.0%). The majority (73.7%) of those using the skin crease punctured at the same level or distal to it. The relationship of these superficial landmarks to the common femoral artery (CFA) and its bifurcation were investigated. The inguinal skin crease was distal to the bifurcation of the CFA in 71.9% of limbs (mean, 0.61 cm). The maximal femoral pulse was over the CFA in 92.7% of limbs, and the CFA was projected over the medial aspect of the femoral head in 77.9% of limbs. The use of the inguinal skin crease is a popular though unreliable guide for puncture of the CFA. Use of the maximal femoral pulse will enable more constant puncture of the CFA.
在一项关于用于选择股动脉造影穿刺部位的体表标志的调查中，腹股沟皮肤皱褶最受欢迎，39.2%的血管造影师选择它。不论皮肤皱褶位置如何，股动脉搏动最强点是第二受欢迎的标志（24.7%）。骨性标志最不受欢迎（13.0%）。大多数（73.7%）使用皮肤皱褶的人在其同一水平或更低水平进行穿刺。研究了这些体表标志与股总动脉（CFA）及其分叉的关系。在71.9%的肢体中，腹股沟皮肤皱褶位于CFA分叉的远侧（平均0.61厘米）。在92.7%的肢体中，股动脉搏动最强点位于CFA上方，在77.9%的肢体中，CFA投影于股骨头内侧。使用腹股沟皮肤皱褶作为CFA穿刺的引导虽受欢迎但不可靠。使用股动脉搏动最强点将能更稳定地穿刺CFA。
