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腰小肌:一项尸体形态测量学研究。

Psoas Minor Muscle: A Cadaveric Morphometric Study.

作者信息

Dragieva Pamela, Zaharieva Mihaela, Kozhuharov Yordan, Markov Krasimir, Stoyanov George S

机构信息

Student, Faculty of Medicine, Medical University - Varna "Prof. Dr. Paraskev Stoyanov", Varna, Bulgaria.

Department of General and Clinical Pathology, Forensic Medicine and Deontology, Medical University - Varna "Prof. Dr. Paraskev Stoyanov", Varna, BGR.

出版信息

Cureus. 2018 Apr 8;10(4):e2447. doi: 10.7759/cureus.2447.

Abstract

Introduction The psoas muscle group is part of the posterior abdominal wall and is comprised of long muscles - major, minor, and tertius. Out of those, only the psoas major muscle is an obligatory muscle present in all individuals. The psoas minor muscle (PMM) originates as vertical fascicles inserted in the bodies of the last thoracic and first lumbar vertebrae and inserting into the iliopectineal eminence. The muscle provide flexion of the lumbar spine in a limited fashion. The aim of the study was to establish the frequency of the muscle in the Bulgarian population. Materials and methods This study was carried out in the Department of Anatomy and Cell Biology, Medical University, Varna, Bulgaria, by Dr. Paraskev Stoyanov in November 2017, on a total of 10 cadavers. The length, width, and circumference of the muscles were measured. The collected data were interpreted in a descriptive manner. Results The PMM was present in six out of ten cadavers (60%). Out of those six cadavers, the muscle was bilateral in three, unilateral on the left side in one, and unilateral on the right side in two cadavers. The average length of the muscle was 19.66 cm (range:14.4 cm - 21.7 cm), average width was 1.73 cm (range: 1.0 cm - 3.2 cm ) and average circumference was 3.48 cm (range: 1.7 cm - maximum 5.6 cm). The male to female ratio of cadavers with a PMM was 1:1. Conclusion The frequency of the muscle's variations considering its presence in the Bulgarian population (60%) is higher when compared to its presence in the Indian population (36.67%), virtually identical to the Brazilian population (59%), and lower than that reported in the US (65.6%). The morphometric analyses of the different populations showed a shorter psoas minor in the Bulgarian population.

摘要

引言 腰大肌肌群是腹后壁的一部分,由腰大肌、腰小肌和腰三肌等长肌组成。其中,只有腰大肌是所有人都有的必备肌肉。腰小肌(PMM)起始于垂直的肌束,附着于第12胸椎和第1腰椎椎体,止于髂耻隆起。该肌肉以有限的方式为腰椎提供屈曲功能。本研究的目的是确定保加利亚人群中该肌肉的出现频率。

材料与方法 本研究于2017年11月由保加利亚瓦尔纳医科大学解剖学与细胞生物学系的Paraskev Stoyanov博士对10具尸体进行。测量了肌肉的长度、宽度和周长。收集的数据采用描述性方式进行解读。

结果 10具尸体中有6具(60%)存在腰小肌。在这6具尸体中,该肌肉双侧存在的有3具,左侧单侧存在的有1具,右侧单侧存在的有2具。肌肉的平均长度为19.66厘米(范围:14.4厘米 - 21.7厘米),平均宽度为1.73厘米(范围:1.0厘米 - 3.2厘米),平均周长为3.48厘米(范围:1.7厘米 - 最大5.6厘米)。有腰小肌的尸体中男性与女性的比例为1:1。

结论 考虑到腰小肌在保加利亚人群中的出现频率(60%),与印度人群(36.67%)相比更高,与巴西人群(59%)几乎相同,低于美国报道的频率(65.6%)。对不同人群的形态学分析表明,保加利亚人群中的腰小肌较短。

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