水针刀治疗股骨头坏死症的应用解剖分析

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1、上静脉体表投影，臀下静脉体表投影，闭孔静脉体表投影(详见正文)。结论：依据对髋关节关节周围血管、肌肉及骨性标志的解剖观测，已设计出较合理的针刀治疗股骨头缺血性坏死的手术入路，同时指出了应避免损伤的邻近重要结构；此外，简便实用的表面解剖定位方法对临床针刀手术、针灸推拿的医疗诊治均提供了有益的参考。应用课题所设计的术式对股骨头坏死症患者进行验证性治疗，取得较满意的疗效。关键词：股骨头坏死症，水针刀疗法，针刀手术入路，解剖研究IIAbstractObjective：Toobtainsurfaceprojec

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4、tone：dissectinguinalregiontoseparatearteriesandveinsofthisregion，observevasculartrend，andmeasurerespectivedistancesbetweenintertrochanterlinesubjacentpointandfemoralartery,femoralvein,deepfemoralartery,deepfemoralvein,lateral／vastuscircumflexfemoralarte

5、ry＆vein’Souterdiameters，andgreatertrochanter．Parttwo：dissectpelvistoseparateobturatorartery＆vein，andmeasuretheouterdiametersofartery＆veininobturatoroutlet．Partthree：dissectbuttockregiontoseparategluteusmaximus，gluteusmedius,pirifomfis，guadratusfemorismu

6、sclesandbuttockartery＆vein，andmeasurefollowingitems：(DThedistributionandfeaturesofbuttockarteriesandveins，includingtheouterdiametersofsuperior／inferior西utedartery&vein．②Thelen蓟h,width，&thicknessofghteusmaximus；thelengthandwidthofghteusmedius；thewidthand

7、thicknessofpiriformisaroundpelvicoutlet；thelength,width，&thicknessofupper／lowerlimbofquadratusfemorismuscles．③Femoralhead’Sneck-shaRangle，retroversionangle，thelengthoffemoralneck，andthedistancebetweengreatertrochanterandintertrochantercrestlinesubjacent

8、point．④Gainsurfaceprojectionofsuperior／inferiorglutealvein，obturatorvein．Takepicturesoftheabovementionedsamplesandarchive．DatastatisticalanalysisWascarriedoutonthedata，inaccordancewiththedesignwayofreasonablesurgicalapproach．Resu