Lechner G, Jantsch H, Waneck R, Kretschmer G
Radiological Department, 1st University Clinic of Surgery, Vienna, Austria.
Cardiovasc Intervent Radiol. 1988 Jun;11(3):165-9. doi: 10.1007/BF02577111.
The variability of the extraperitoneal puncture space between the inguinal ligament and the inguinal crease was evaluated in 100 patients. The distance between the inguinal crease and the inguinal ligament varied from 0 to 11 cm (average 6.7 cm +/- 1.9 SD), the average value for women (7.5 cm +/- 1.9 SD) being significantly greater than that for men (6.3 cm +/- 1.9 SD, p = 0.0128). The bifurcation of the common femoral artery was found below the inguinal crease in 20%, at the same level in 3.5%, and above it in 76.5% of cases. Consideration of these results will help avoid intraperitoneal puncture and improve the rate of successful antegrade puncture of the femoral artery.
对100例患者的腹股沟韧带与腹股沟皱襞之间腹膜外穿刺空间的变异性进行了评估。腹股沟皱襞与腹股沟韧带之间的距离为0至11厘米(平均6.7厘米±1.9标准差),女性的平均值(7.5厘米±1.9标准差)显著大于男性(6.3厘米±1.9标准差,p = 0.0128)。在20%的病例中,股总动脉分叉位于腹股沟皱襞下方,3.5%的病例位于同一水平,76.5%的病例位于其上方。考虑这些结果将有助于避免腹腔内穿刺并提高股动脉顺行穿刺的成功率。