腰骶椎前路手术“有效工作区”血管应用解剖学研究

凌云志; 刘振华; 周建生; 肖玉周; 牛国旗

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腰骶椎前路手术“有效工作区”血管应用解剖学研究

凌云志 , 刘振华 , 周建生 , 肖玉周 , 牛国旗

文章导航 > 蚌埠医学院学报 > 2009, 34 > 2: (110-114)

引用本文:

Citation:

腰骶椎前路手术“有效工作区”血管应用解剖学研究

1. 蚌埠医学院第一附属医院麻醉科, 安徽蚌埠 233004;
2. 蚌埠医学院第一附属医院骨科, 安徽蚌埠 233004

作者简介: 凌云志(1977-),男,硕士,住院医师.

基金项目:
安徽省教育厅自然科学研究资助项目(2006kj104C)
中图分类号: R681.5;R323.43

Anatomic study of the blood vessels in the lumbosacral anterior “effective working area”

1. Department of Anesthesiology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China;
2. Department of Or thopedics, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China
CLC number: R681.5;R323.43

摘要: 目的:比较腰骶椎"髂血管三角区"和"侧方安全区"的血管分布及手术处理后"有效工作区"的范围大小,为临床进行腰骶椎前路手术提供相关应用解剖学数据。方法:对30具成人尸体标本进行观察,比较正常"髂血管三角区"及外侧牵拉髂血管后"髂血管三角有效工作区"面积的大小;正常和安全牵拉椎前血管后"侧方安全区"以及结扎腰节段血管后"侧方有效工作区"面积的大小。结果:正常"髂血管三角区"面积为(785.85±333.91)mm²,外侧牵拉髂血管后"髂血管三角有效工作区"面积为(938.97±351.39)mm²。L₅~S₁水平"侧方安全区"正常情况下左侧为(148.44±64.40)mm²,右侧为(142.45±46.66)mm²;安全牵拉椎前血管情况下左侧为(178.76±72.97)mm²,右侧为(178.59±60.54)mm²;结扎腰节段血管后"侧方有效工作区"左侧为(314.80±82.47)mm²,右侧为(322.12±73.68)mm²。结论:在行L₅~S₁前路手术时,以"髂血管三角有效工作区"为首选,此区可以满足单钉棒或单钉板内固定的空间需求。
- 脊柱/外科手术 /
- 腰骶部 /
- 有效工作区 /
- 血管 /
- 解剖学,局部
Abstract: Objective: To compare the blood vessels' distribution in "iliac blood vessel triangular area" and "lateral safe region" of the lumbosacral vertebrae and the range of "effective working area" after operation,so as to provide anatomic data for lumbosacral anterior operation.Methods: The range of "iliac blood vessel triangular area" in common condition and "iliac blood vessel triangular effective working area" after laterally dragging iliac blood vessels,the range of "lateral safe region" in common condition and after safely dragging lumbosacral vertebrae anterior blood vessels and the "lateral effective working area" after ligating lumbar segmental vessels were observed and compared in 30 human cadavers.Results: The area of "iliac blood vessel triangular area" in common condition was(785.85±333.91) mm²;the area of "iliac blood vessel triangular effective working area" after laterally dragging iliac blood vessels was(938.97±351.39) mm²;at L₅-S₁ level,the left range of "lateral safe region" in common condition was(148.44±64.40) mm² and the right range was(142.45±46.66) mm²;after safely dragging lumbosacral vertebrae anterior blood vessels,the left range of it was(178.76±72.97) mm²,and the right range was(178.59±60.54) mm²;after ligating lumbar segmental vessels,the left range of "lateral effective working area" was(314.80±82.47) mm² and the right range was(322.12±73.68) mm².Conclusions: It is proper to select "iliac blood vessel triangular effective working area" approach when carrying out anterior operation of L₅-S₁.This area can satisfy the space requirement of single rod-screw or single screw-plate during internal fixation.
- spine/surgery /
- lumbosacral region /
- effective working area /
- blood vessels /
- anatomy,regional

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腰骶椎前路手术“有效工作区”血管应用解剖学研究

作者简介: 凌云志(1977-),男,硕士,住院医师.

1. 蚌埠医学院第一附属医院麻醉科, 安徽蚌埠 233004;
2. 蚌埠医学院第一附属医院骨科, 安徽蚌埠 233004

收稿日期: 2007-12-11

基金项目: 安徽省教育厅自然科学研究资助项目(2006kj104C)

关键词:

摘要: 目的:比较腰骶椎"髂血管三角区"和"侧方安全区"的血管分布及手术处理后"有效工作区"的范围大小,为临床进行腰骶椎前路手术提供相关应用解剖学数据。方法:对30具成人尸体标本进行观察,比较正常"髂血管三角区"及外侧牵拉髂血管后"髂血管三角有效工作区"面积的大小;正常和安全牵拉椎前血管后"侧方安全区"以及结扎腰节段血管后"侧方有效工作区"面积的大小。结果:正常"髂血管三角区"面积为(785.85±333.91)mm²,外侧牵拉髂血管后"髂血管三角有效工作区"面积为(938.97±351.39)mm²。L₅~S₁水平"侧方安全区"正常情况下左侧为(148.44±64.40)mm²,右侧为(142.45±46.66)mm²;安全牵拉椎前血管情况下左侧为(178.76±72.97)mm²,右侧为(178.59±60.54)mm²;结扎腰节段血管后"侧方有效工作区"左侧为(314.80±82.47)mm²,右侧为(322.12±73.68)mm²。结论:在行L₅~S₁前路手术时,以"髂血管三角有效工作区"为首选,此区可以满足单钉棒或单钉板内固定的空间需求。

English Abstract

Anatomic study of the blood vessels in the lumbosacral anterior “effective working area”

1. Department of Anesthesiology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China;
2. Department of Or thopedics, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Received Date: 2007-12-11

Abstract: Objective: To compare the blood vessels' distribution in "iliac blood vessel triangular area" and "lateral safe region" of the lumbosacral vertebrae and the range of "effective working area" after operation,so as to provide anatomic data for lumbosacral anterior operation.Methods: The range of "iliac blood vessel triangular area" in common condition and "iliac blood vessel triangular effective working area" after laterally dragging iliac blood vessels,the range of "lateral safe region" in common condition and after safely dragging lumbosacral vertebrae anterior blood vessels and the "lateral effective working area" after ligating lumbar segmental vessels were observed and compared in 30 human cadavers.Results: The area of "iliac blood vessel triangular area" in common condition was(785.85±333.91) mm²;the area of "iliac blood vessel triangular effective working area" after laterally dragging iliac blood vessels was(938.97±351.39) mm²;at L₅-S₁ level,the left range of "lateral safe region" in common condition was(148.44±64.40) mm² and the right range was(142.45±46.66) mm²;after safely dragging lumbosacral vertebrae anterior blood vessels,the left range of it was(178.76±72.97) mm²,and the right range was(178.59±60.54) mm²;after ligating lumbar segmental vessels,the left range of "lateral effective working area" was(314.80±82.47) mm² and the right range was(322.12±73.68) mm².Conclusions: It is proper to select "iliac blood vessel triangular effective working area" approach when carrying out anterior operation of L₅-S₁.This area can satisfy the space requirement of single rod-screw or single screw-plate during internal fixation.