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股动脉与腹股沟韧带之间的滑动间隙:假性动脉瘤的形成机制。

A gliding space between the femoral artery and inguinal ligament: mechanism of formation of false aneurysm.

作者信息

Ferdani M, Delpero J R, Courbier R

出版信息

Anat Clin. 1985;7(2):131-5. doi: 10.1007/BF01655514.

DOI:10.1007/BF01655514
PMID:4041271
Abstract

False aneurysms preferentially arise in the inguinal region subsequent to aorto-femoral bypass. This finding suggests that the position of the inguinal ligament against the anterior surface of the prosthesis may be an etiological factor. Description of the inguinal region, forming a borderline between the trunk and thigh and specific to the erect posture, has been the subject of many anatomical studies. These papers describe mainly the relations between the vascular sheath of the femoral artery, the fascia transversalis and inguinal ligament. Based on a series of anatomical dissections we have found a gliding space between the femoral artery and inguinal ligament. This finding has led us to propose section of the fibrous portion of the inguinal ligament and the insertion of free omentum between the arch of the ligament and prosthesis in order to prevent false aneurysm. Preliminary results obtained with this technique are satisfactory.

摘要

假性动脉瘤在主动脉-股动脉旁路移植术后好发于腹股沟区。这一发现提示腹股沟韧带抵靠假体前表面的位置可能是一个病因学因素。腹股沟区作为躯干和大腿之间的边界区域且特定于直立姿势,其描述一直是许多解剖学研究的主题。这些论文主要描述了股动脉血管鞘、腹横筋膜和腹股沟韧带之间的关系。基于一系列解剖学 dissections 我们发现股动脉和腹股沟韧带之间存在一个滑动间隙。这一发现促使我们提出切断腹股沟韧带的纤维部分并在韧带弓和假体之间插入游离大网膜以预防假性动脉瘤。用该技术获得的初步结果是令人满意的。 (注:dissections 此处可能有误,若为 dissections 应翻译为“解剖” )

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A gliding space between the femoral artery and inguinal ligament: mechanism of formation of false aneurysm.股动脉与腹股沟韧带之间的滑动间隙:假性动脉瘤的形成机制。
Anat Clin. 1985;7(2):131-5. doi: 10.1007/BF01655514.
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引用本文的文献

1
Anatomo-radiological study of the popliteal artery during knee flexion.膝关节屈曲时腘动脉的解剖放射学研究。
Surg Radiol Anat. 1995;17(3):255-62. doi: 10.1007/BF01795060.
2
Dynamic modifications of the popliteal arterial axis in the sagittal plane during flexion of the knee.膝关节屈曲时腘动脉轴在矢状面的动态改变。
Surg Radiol Anat. 1987;9(1):37-41. doi: 10.1007/BF02116852.
3
The femoral artery and flexion of the hip joint.股动脉与髋关节屈曲。

本文引用的文献

1
[False aneurysms of artery prostheses. Mechanism and preventive treatment].[动脉假体假性动脉瘤。机制与预防性治疗]
Chirurgie. 1982;108(5):459-64.
2
[Preliminary note on the anatomy of the femoral rterial axis (30 dissections)].[股动脉轴解剖学初步笔记(30例解剖)]
Lyon Med. 1969 Oct 26;222(38):698-700 passim.
3
The inguinal and lacunar ligaments.腹股沟韧带和陷窝韧带。
Surg Radiol Anat. 1989;11(4):275-81. doi: 10.1007/BF02098696.
J Anat. 1974 Nov;118(Pt 2):241-51.
4
The superficial inguinal arch. A re-assessmen of what has been called the inguinal ligament.腹股沟浅弓。对所谓腹股沟韧带的重新评估。
J Anat. 1971 Feb;108(Pt 2):297-304.
5
Inguinal anatomy.腹股沟解剖结构。
J Anat. 1979 May;128(Pt 3):581-94.