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ID:33075756
大小:4.79 MB
页数:26页
时间:2019-02-19
《水针刀治疗股骨头坏死症的应用解剖分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
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
2、tiondateofvascularstructurebysectionalanatomicalstudyonfemoralhead’Sstructureandperipheralvascularbraches,distribution,outerdiameter,andthelength,width,thicknessofmuscleandadjacentimportantstructureofadultcorpses’buttockregionandinguinalregion,thereafte
3、rputtingforwardthedesignofpropercloseoperativeentrypointforfemoralheadnecrosistreatmenttoreduceblindness,avoidunnecessarysurgicalinjuryandimproveclinicaleffect.Method:20formalin-fixedadultcorpses谢t11perfecthitjointstructure,i.e.40h/tjointsaltogether.Par
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
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