Dissanayake Ravi, Spelman Christopher, Balasubramanium Umatheepan, McPherson Rory, Martin Thomas, Buckenham Tim
Department of Orthopaedic Surgery, Monash Health, Melbourne, Victoria, Australia.
Department of Orthopaedic Surgery, Waikato District Health Board, Hamilton, New Zealand.
J Med Imaging Radiat Oncol. 2016 Apr;60(2):199-205. doi: 10.1111/1754-9485.12429. Epub 2016 Jan 8.
We aimed to advance the understanding of the anatomy of the perforating branches of the profunda femoris artery to facilitate the avoidance of iatrogenic injury in surgery around the thigh and ensure safe percutaneous embolisation.
Dissection was carried out on seven cadavers, examining the relationship of the point of origin of the perforating branches of profunda femoris, relative to lines connecting palpable bony landmarks (lines A and B). These were compared with 16 computed tomography angiograms (CTA). Left to right variation within subjects and variation between the dissection and imaged group was examined. The anatomy of the two groups was then compared with that described in anatomical textbooks.
The side to side variation in number of perforators was not significant in the dissection (P = 0.20) nor the CT group (P = 0.70). Similarly, the point of origin of the perforating vessels along lines A and B did not demonstrate any significant difference except for the fourth perforator along line B (P = 0.03). There was no significant difference in points of origin along line B between the dissection and CT groups for the first four perforators on the left (P = 0.51, P = 0.80, P = 0.66, P = 0.09 respectively) and right (P = 0.79, P = 0.45, P = 0.56, P = 0.11 respectively). The number and distribution of perforators were then compared with commonly used anatomical texts.
As in other parts of the body, textbook descriptions of anatomical structures may not be reflected consistently in vivo. However, the perforating branches of the profunda femoris demonstrate a predictable topographical relationship to palpable bony landmarks.
我们旨在加深对股深动脉穿支解剖结构的理解，以利于在大腿周围手术中避免医源性损伤，并确保经皮栓塞的安全性。
对7具尸体进行解剖，研究股深动脉穿支的起始点相对于连接可触及骨性标志的线（线A和线B）的关系。将这些结果与16例计算机断层血管造影（CTA）进行比较。检查了受试者左右侧的差异以及解剖组与成像组之间的差异。然后将两组的解剖结构与解剖学教科书中描述的结构进行比较。
穿支数量的左右侧差异在解剖组（P = 0.20）和CT组（P = 0.70）中均不显著。同样，除了沿B线的第四穿支外（P = 0.03），沿A线和B线的穿支血管起始点没有显示出任何显著差异。在左侧（分别为P = 0.51、P = 0.80、P = 0.66、P = 0.09）和右侧（分别为P = 0.79、P = 0.45、P = 0.56、P = 0.11），解剖组和CT组沿B线的前四个穿支的起始点没有显著差异。然后将穿支数量和分布与常用的解剖学教科书进行比较。
与身体其他部位一样，解剖学教科书对解剖结构的描述在体内可能无法始终如一地得到体现。然而，股深动脉穿支与可触及的骨性标志呈现出可预测的地形关系。
