髋臼骨折腹直肌旁入路的解剖学-研究

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1、万方数据symphysistothesacroiliacjoint，quadrilateralplate，posteriorcolumn，iliacfossaandtheiliaccrest．Theexposureareaprovidedbyparaectusapproachis101．0±5．6cm2,theexposureareaprovidedbystoppaapprocchis61．0-4．2cm2．Thereweremanyneurovascularstructuresinthesurgicalfield，howevertheywere

2、clearlyvisualisedinallspecimens．Obturatorvesselsandnervewerethemostimportantstructuresatrisk．MeasurementsRegardingobturatornerve：Thedistancefromtheobturatorcanalentrancetolineaterminalisleft18．2±2．2mm．right18．0±1．7mm，thedistancefromtheintersectionpointoflineaterminalistosacro

3、iliacjointleft21．9±2．61TlIn，right17．1±1．9mm，maximumdistancetolineaterminalisbyretraction(attheintersectionpoint)left12．8±1．8mm，right13．2±1．8mm．Measurementsregardingobturatorartery：Thedistancetolineaterminalisattheobturatorcanalentranceleft22．O±2．6mm，right22．9±3．01TUTI，thedist

4、ancefromthemidpointtolineaterminalisleft20．3±1．5mlTl，right15．9±1．3mm，thedistancefromthemidpointtolineaterminalisbyretractionleft29．4±2．5mm，right28．2±1．5mm．Measurementregardingobturatorvein：Thedistancefromtheobturatorcanalentrancetolineaterminalleft20．9±2．1mm，right20．2±2．6mm，t

5、hedistancefromthemidpointtolineaterminalisleft28．7±1．7mln，right21．7±1．5mm，thedistancefromthemidpointtolineaterminalisbyretractionleft36．6±1．7mm，right33．3±1．6mm．ThelateralfemoralcutaneousnervewasmostcommonlyV万方数据foundatlcmlateraltotheanteriorsuperioriliacspineand2cmmedialtothe

6、anteriorsuperioriliacspine，asfarmediallyas6cm．Coronamorrisvesselswerein41．7％ofspecimens．thedistancefromvasculartothepubicsymphysiswas57．0±10．5rnlTl．Conclusion：ThePararectusapproachrequiresasingleincisionwithgoodexposureofpelvicbrimfrompubicsymphysistoanteriorsacroiliacjoint，q

7、uadrilateralplate，mediaposteriorcolumn，fossailiaca，iliaccrest．Thepararectusapproachallowsdirectvisualisationofneurovascularstructures．TheexposurefieldprovidedbythepararectusapproachispriortobytheStoppaapproachwhenaddresseshemiacetabularfracture．Keywords：acetabularfractrueoper

8、ationapproachanatomyVI万方数据目录学位论文原创性声明⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯I摘要⋯⋯⋯