猪股骨头支持带动脉入头分支的解剖学研究

张向南, 邓伟, 张松强, 李雷, 周广良, 居发新, 鞠文, 周正虎, 李关兴, 巨积辉, 侯瑞兴

中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (2) : 130-133.

PDF(1749 KB)
PDF(1749 KB)
中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (2) : 130-133. DOI: 10.13418/j.issn.1001-165x.2021.02.003
应用解剖

猪股骨头支持带动脉入头分支的解剖学研究

  • 张向南1,    邓伟1, 张松强1, 李雷1, 周广良1, 居发新2, 鞠文1
    周正虎1, 李关兴1, 巨积辉1, 侯瑞兴1
作者信息 +

Anatomical study on the branch of pig femoral head retinacular artery

  • Zhang Xiangnan1, Deng Wei1, Zhang Songqiang1, Li Lei1, Zhou Guangliang1, Ju Faxin2, Ju Wen1, Zhou Zhenghu1, Li Guanxing1, Ju Jihui1, Hou Ruixing1
Author information +
文章历史 +

摘要

目的 探索猪股骨头支持带动脉入头分支的数量、分布规律及外径大小并阐述其意义。  方法 解剖39例带有髋周血管的猪股骨头离体标本,分离支持带动脉,采用30%硫酸钡悬浮液显微灌注,观察支持带动脉入头分支的走形、数量、分布及外径。以时钟点位记录支持带动脉入头的分布规律,显微标尺测量支持带动脉入头分支的外径,并对各组支持带动脉入头最粗支的位置进行测量统计。  结果 猪股骨头共有(6.10±1.32)支动脉入头,主要分为后上、后下及前方3组,每组支持带动脉最粗支入头的时钟点位分别为(11:22~01:29)、(06:36~08:15)、(02:01~03:59);直径分别为(0.37±0.11)、(0.52±0.11)、(0.35±0.09)mm。  结论 猪股骨头入头动脉的数量及位置相对恒定,入头动脉最粗支平均直径为(0.52±0.11)mm,来自后下组支持带动脉,为猪股骨头重要的血供来源。

Abstract

Objective To explore the number, distribution and outer diameter of retinacular artery branch of pig femoral head and its significance. Methods Thirty-nine isolated pig femoral head specimens with peri-hip vessels were dissected, the retinacular artery were separated, and microperfusion was performed with 30% barium sulfate suspension. The shape, number, distribution and outer diameter of the retinacular artery's entry branch were observed. The distribution of the arterial head was recorded according to the time points. The micrometer was used to measure the external diameter of the retinacular artery branch. The position of the thickest branch of the retinacular artery in each group were measured statistically. Results There were(6.10±1.32) arteries in the pig femoral head, which were mainly divided into three groups: a posterosuperior group, a posteroinferior group and an anterior retinacular artery group. The clock points of the thickest branch head of each group of retinacular artery were (11:22~01:29),(06:36~08:15),(02:01~03:59)o'clock, respectively. The diameters of the three groups were(0.37±0.11),(0.52±0.11),(0.35±0.09)mm, respectively. Conclusions The number and location of the pig femoral head inlet arteries are relatively constant. The average diameter of the thickest branch of the pig femoral head inlet arteries is(0.52±0.11)mm, which origining from the posteroinferior retinacular artery group  and is an important blood supply source for pig femoral head.

关键词

/  股骨头 /  支持带动脉 /  测量 /  解剖学

Key words

Pig /  Femoral head /  Retinacular artery /  Measurement /  Anatomy

引用本文

导出引用
张向南, 邓伟, 张松强, 李雷, 周广良, 居发新, 鞠文, 周正虎, 李关兴, 巨积辉, 侯瑞兴. 猪股骨头支持带动脉入头分支的解剖学研究[J]. 中国临床解剖学杂志. 2021, 39(2): 130-133 https://doi.org/10.13418/j.issn.1001-165x.2021.02.003
Zhang Xiangnan, Deng Wei, Zhang Songqiang, Li Lei, Zhou Guangliang, Ju Faxin, Ju Wen, Zhou Zhenghu, Li Guanxing, Ju Jihui, Hou Ruixing. Anatomical study on the branch of pig femoral head retinacular artery[J]. Chinese Journal of Clinical Anatomy. 2021, 39(2): 130-133 https://doi.org/10.13418/j.issn.1001-165x.2021.02.003
中图分类号: Q954.541    R322   

参考文献

[1]  庄乐彬, 廖华, 胡稷杰. 自体骨瓣移植在青壮年股骨颈骨折治疗中的应用进展[J]. 中国临床解剖学杂志, 2019, 37(6): 729-731. DOI: 10.13418/j.issn.1001-165x.2019.06.025.
[2]  苑芳昌, 管西亮, 杜晓飞, 等. 旋髂深血管髂骨瓣治疗中青年股骨颈骨折术后骨不连21例[J]. 中华显微外科杂志, 2018, 41(2): 199-200. DOI: 10.3760/cma.j.issn.1001-2036.2018.02.029.
[3]  赵德伟. 股骨头缺血性坏死的微创手术与显微修复[J]. 中华显微外科杂志, 2015, 38(3): 209-210. DOI: 10.3760/cma.j.issn.1001-2036. 2015. 03. 001.
[4]  张长青, 侯春林, 顾立强, 等. 青壮年股骨颈骨折的显微外科治疗专家共识[J]. 中华显微外科杂志, 2016, 39(3): 209-212.
[5]  刘学光, 孙振中, 宋升, 等. 经皮加压钢板结合旋股外侧动脉升支髂骨瓣移植治疗青壮年股骨颈骨折骨不连疗效观察[J]. 中国临床解剖学杂志, 2019, 37(5):559-562. DOI: 10.13418/j.issn.1001-165x.2019.05. 015.
[6]  邵华荣, 于大海, 曹建辉, 等. 腓骨移植联合红骨髓与骨碎屑骨泥填充治疗股骨头坏死[J]. 中华显微外科杂志, 2013, 36(1): 71-74.
[7] Slobogean GP, Sprague SA, Scott T, et al. Management of young femoral neck fractures: is there a consensus[J]? Injury, 2015, 46(3): 435-440. DOI: 10.1016/j.injury.2014.11.028.
[8]   唐举玉, 杜威, 吴攀峰, 等. 吻合旋髂深血管的游离髂骨瓣移植治疗股骨头缺血性坏死[J]. 中华显微外科杂志, 2019, 42(4): 313-316. DOI: 10.3760/cma.j.issn.1001-2036.2019.04.001.
[9] 刘乐泉, 王小铁. 股方肌骨瓣移植结合内固定治疗青壮年股骨颈骨折54例[J]. 中华显微外科杂志, 2017, 40(4): 378-380. DOI: 10.3760/cma.j.issn.1001-2036.2017.04.019.
[10] 张健, 殷富裕, 彭吾训. 带股方肌蒂骨瓣移位治疗成人股骨头缺血性坏死的疗效及安全性分析[J]. 中国临床解剖学杂志, 2017, 35(2): 228-231. DOI: 10.13418/j.issn.1001-165x.2017.02.023.

[11] 赵德伟, 傅维民, 王本杰, 等. 带旋股外侧血管蒂大转子骨瓣转移重建股骨头的临床随访研究[J]. 中华显微外科杂志, 2015, 38(3): 218-221. DOI: 10.3760/cma. j.issn.1001-2036. 2015. 03. 004.

[12] 周风金, 钟桂午, 杨普, 等. 带旋股外动脉升支髂骨瓣加空心加压钉治疗股骨颈骨折[J]. 中国临床解剖学杂志, 2003, 21(4): 387-388. DOI: DOI: 10.13418/j.issn.1001-165x.2003.04.034.
[13] 赵德伟, 马志杰. 创伤性股骨颈骨折后股骨头坏死的预防[J]. 中华显微外科杂志, 2019, 42(1): 3-4. DOI: 10.3760/cma.j.issn.1001-2036. 2019. 01.002.
[14] 邱兴, 程亮亮, 王本杰, 等. 离体股骨头动脉显微灌注技术方法[J]. 中国临床解剖学杂志, 2017, 35(4): 469-472. DOI: 10.13418/j.issn.1001-165x.2017.04.025.
[15] Lazaro LE, Klinger CE, Sculco PK, et al. The terminal branches of the medial femoral circumflex artery: the arterial supply of the femoral head[J]. Bone Joint J, 2015, 97-B(9): 1204-1213. DOI: 10.1302/0301-620X.97B9.34704.
[16] 王子华, 赵德伟. 基于显微灌注和三维数字成像的股骨头血供解剖学研究为青壮年股骨颈骨折治疗策略带来的新启示[J]. 中华显微外科杂志, 2017, 40(5): 417-418. DOI: 10.3760/cma.j.issn.1001-2036. 2017. 05. 001.
[17] Zlotorowicz M, Czubak J, Caban A, et al. The blood supply to the femoral head after posterior fracture/dislocation of the hip, assessed by CT angiography[J]. Bone Joint J, 2013, 95-B(11):1453-1457. DOI: 10.1302/0301-620X.95B11.32383.
[18]Qiu X, Shi XT, Ouyang J, et al. A method to quantify and visualize femoral head intraosseous arteries by micro-CT[J]. J Anat, 2016, 229(2): 326-333. DOI: 10.1111/joa.12475.
[19]Zhao DW, Qiu X, Wang BJ, et al. Epiphyseal arterial network and inferior retinacular artery seem critical to femoral head perfusion in adults with femoral neck fractures[J]. Clin Orthop Relat Res, 2017, 475(8): 2011-2023. DOI: 10.1007/s11999-017-5318-5.
[20]赵德伟, 邱兴. 股骨头血液供应及其临床意义[J]. 临床外科杂志, 2017, 25(8): 568-570. DOI: 10.3969/j.issn.1005-6483.2017.08.002.
[21]Zhao DW, Wang ZH, Wang BJ, et al. Revascularization of the femoral head by anastomosis of superior retinacular vessels for the treatment of femoral neck fracture: a case report[J]. Microsurgery, 2016, 36(5): 426-429. DOI: 10.1002/micr.30029.

基金

江苏省青年医学人才项目(QNRC2016224)

PDF(1749 KB)

Accesses

Citation

Detail

段落导航
相关文章

/