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旋股外侧动脉解剖多样性的再评估及其重要临床应用:尸体研究

Reappraisal of anatomical diversity of lateral circumflex femoral artery with its substantial clinical applicability: cadaveric study.

作者信息

Chaudhary Anju, Patra Apurba, Garg Pooja

机构信息

Department of Anatomy, All India Institute of Medical Sciences, Bathinda, India.

Department of Anatomy, All India Institute of Medical Sciences, Jodhpur, India.

出版信息

Anat Cell Biol. 2024 Sep 30;57(3):346-352. doi: 10.5115/acb.24.047. Epub 2024 Jul 15.

Abstract

Studies reveal variations in the in the origin, number, and branching patterns of the lateral circumflex femoral artery (LCFA). The present study aimed to document such variations and their potential clinical applicability. Thirty-two femoral triangles of 16 embalmed adult human cadavers were dissected to investigate the variation in the origin, number, and branching patterns of LCFA. The main branches of the LCFA were tracked independently for numerical variations in branching pattern. The distance between the origin of LCFA and mid inguinal point (MIP) was also measured in each case. LCFA was most commonly arising from profunda femoris (PF), followed by femoral artery (FA) and common trunk of the femoral artery (CFA). Duplication LCFA was observed in 15 (46.87%) limbs, in 5 (31.25%) cases duplication was only on right side, in 4 (25%) cases duplication was only on left side and in 3 (18.75%), duplication was bilateral. Cases with duplication of LCFA, showed numerical variations with descending pattern being the most common. The average distance of LCFA1 and LCFA2 from mid-inguinal point was 5.77±1.35 cm and 6.14±2.05 cm respectively. Detailed information regarding the occurrence of duplication will be great importance for surgeons, interventional radiologists, and other medical professionals performing procedures in the femoral region. Knowledge of variation of branching pattern of LCFA is utmost important as surgeons use the descending branch of the LCFA in bypass grafting and vascular reconstruction surgeries.

摘要

研究揭示了旋股外侧动脉(LCFA)在起源、数量和分支模式上的变异。本研究旨在记录这些变异及其潜在的临床适用性。对16具防腐处理的成年人体尸体的32个股三角进行解剖,以研究LCFA的起源、数量和分支模式的变异。独立追踪LCFA的主要分支以观察分支模式的数量变异。在每种情况下还测量了LCFA起源与腹股沟中点(MIP)之间的距离。LCFA最常见的起源是股深动脉(PF),其次是股动脉(FA)和股总动脉(CFA)的共同主干。在15条(46.87%)肢体中观察到LCFA重复,其中5例(31.25%)仅右侧重复,4例(25%)仅左侧重复,3例(18.75%)双侧重复。LCFA重复的病例显示出数量变异,以下降模式最为常见。LCFA1和LCFA2距腹股沟中点的平均距离分别为5.77±1.35厘米和6.14±2.05厘米。关于重复发生的详细信息对外科医生、介入放射科医生和其他在股骨区域进行手术的医学专业人员非常重要。由于外科医生在旁路移植和血管重建手术中使用LCFA的降支,因此了解LCFA分支模式的变异至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b32f/11424569/1ad1a5ff94df/acb-57-3-346-f1.jpg

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