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[年龄与髋关节区域筋膜间隔结构的变化]

[Age and changes in the fascial compartment structures in the coxofemoral joint region].

作者信息

Chaĭzhunusova N Zh

出版信息

Arkh Anat Gistol Embriol. 1980 Feb;78(2):41-4.

PMID:7387422
Abstract

Investigations performed on 66 corpses beginning from 5-month-old embryos up to 75 years of age by methods of anatomical preparations (sections were studied after N. L. Pirogov) and on total histotopographical preparations revealed anteromedial, anterolateral and posteroinferior fascial nodes in the area of the coxofemoral joint. The anteromedial node is formed by the network that consists of connective tissue fibres of fascial cases covering the lumboinguinal and pectinate muscles and the common sheaths for the artery and vein. The anterolateral node is formed by the network that consists of the connective tissue fibres of the rectal muscle case, the sheaths of the lateral vessels circumflexing the femur and fasciae of the musculus sartorius and m. tensor fasciae femoris. The posteroinferior node is formed by the network that consists of the connective tissue fibres of the fascial cases of the m. obturatorius, internal and external, fascial sheaths of the internal pudendal vessels and the ischiadic nerve. The fascial nodes in question morphologically complete their formation by the end of the fetal period. In young and adolescent age their components have abundant fibroblastic cells, collagenous and elastic fibres are correctly oriented. By 20 years of development, the fascial nodes are dense and their supporting-protective role is clearly evident. After 55 years of age, the fascial nodes are subjected to involutional alterations characterized by decreasing number of cells, rough collagenous fibre fasciculi, transformed elastic fibres. All these signs demonstrate that their protective and supporting functions decrease at this age.

摘要

通过解剖学制备方法(按照N. L. 皮罗戈夫的方法研究切片)对66具尸体进行研究,这些尸体年龄从5个月大的胚胎到75岁不等,同时对整体组织拓扑学标本进行研究,结果显示在髋关节区域存在前内侧、前外侧和后下筋膜淋巴结。前内侧淋巴结由一个网络构成,该网络由覆盖腰腹股沟肌和耻骨梳肌的筋膜壳的结缔组织纤维以及动静脉的共同鞘组成。前外侧淋巴结由一个网络构成,该网络由直肠肌壳的结缔组织纤维、环绕股骨的外侧血管鞘以及缝匠肌和股阔筋膜张肌的筋膜组成。后下淋巴结由一个网络构成,该网络由闭孔内、外肌筋膜壳的结缔组织纤维、阴部内血管和坐骨神经的筋膜鞘组成。上述筋膜淋巴结在胎儿期结束时在形态上完成其形成。在青少年时期,其组成部分含有丰富的成纤维细胞,胶原纤维和弹性纤维排列正确。到发育20岁时,筋膜淋巴结致密,其支持保护作用明显。55岁以后,筋膜淋巴结会发生退行性改变,其特征为细胞数量减少、胶原纤维束粗糙、弹性纤维变形。所有这些迹象表明,在这个年龄段它们的保护和支持功能下降。

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