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[从股直肌制作皮瓣以构建直肠括约肌装置技术的解剖学基础]

[Anatomical basis for a technic of cutting flaps out of the musculus rectus femoris for creating a rectal sphincter apparatus].

作者信息

Tat'ianchenko V K

出版信息

Arkh Anat Gistol Embriol. 1988 Sep;95(9):81-6.

PMID:3219079
Abstract

As demonstrate the surgical anatomy investigations of the m. rectus femoris performed in 100 preparations, obtained from corpses of persons belonging to various age periods, in connection with sphincteroplasty the vascular-nervous hilus of the muscle is projected at the level of the upper third of its medial part. The ascending branch of the lateral femoral circumflex artery with the vein of the same name and the muscular branch of the femoral nerve get into their composition. The intramuscular course of the vessels and nerves of the I-III orders of branching and that of the muscular fasciculi coincide. For the sphincteroplasty it is expedient to use muscular-tendinous flaps, cut out from the medial part of the musculus.

摘要

在对取自不同年龄段尸体的100份标本进行的股直肌手术解剖研究中表明,在括约肌成形术方面,该肌肉的血管神经门位于其内侧部上三分之一水平。旋股外侧动脉升支及其同名静脉和股神经肌支参与其组成。一级至三级分支的血管和神经以及肌束在肌肉内的走行是一致的。对于括约肌成形术,使用从该肌肉内侧部切取的肌腱瓣是适宜的。

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