中国实用外科杂志

中国实用外科杂志

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国人corona mortis血管的应用解剖研究

周禄科1，赵    渝1，孙善全2，刘佶瑗1   

  1. 1重庆医科大学附属第一医院血管外科，重庆 400016；2重庆医科大学国家基础医学示范中心解剖学教研室，重庆 400016
  • 发布日期:2012-11-29

  • Published:2012-11-29

摘要：

目的    观察corona mortis血管发生率及其毗邻关系，为经腹股沟入路手术提供解剖学基础。方法    2011年11月至2012年2月重庆医科大学附属第一医院血管外科共解剖经甲醛固定的正常成人尸体标本51具（男37具、女14具），均进行双侧解剖，共102侧，观察corona mortis血管与髂外血管系统之间的关系，并测量corona mortis血管外缘到耻骨联合的距离。结果    在51例（102侧）标本中，有39例（66侧）标本至少存在1条或1条以上的吻合支，发生率为76.5%（39/51）；该血管均跨过耻骨上支表面后向内下方向进入闭孔内，corona mortis血管至耻骨联合的平均距离：男性为（52.00±12.29）mm，女性为（55.39±11.86）mm。两侧corona mortis血管发生率以及到耻骨联合的距离差异均无统计学意义（P＞0.05），男女发生率以及到耻骨联合距离差异均无统计学意义（P＞0.05）。结论    corona mortis血管出现率高，发生率为76.5%，行径均跨越耻骨上支表面，在涉及到腹股沟入路手术时应注意其存在。

关键词: 骨盆, 髂血管, 闭孔血管, corona mortis血管

Abstract:

Applied anatomical studying on corona mortis in Chinese        ZHOU Lu-ke，ZHAO Yu，SUN Shan-quan, et al. Department of Vascular Surgery，the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Corresponding author: ZHAO Yu, E-mail: zhaoyu@cta.cq.cn
Abstract    Objective    To observe the incidence and adjacent to the corona mortis, so as to provide anatomic basis for the surgical of ilioinguinal approach. Methods    One hundred and two hemipelvises were assessed in 51 embalmed cadavers（37 males and 14 females）between November 2011 and February 2012 in the First Affiliated Hospital of Chongqing Medical University. Bilateral dissection was performed in every case with a total of 102 sides. The relationship between the corona mortis and external iliac vessels system was indentified and the distance from the corona mortis to the symphysis pubis was measured. Results    Fifty-one human adult cadavers were dissected bilaterally (102 hemipelvises), with evidences of the vascular elements at the level of the superior pubic branch in 39 cases (66 sides, 76.5%) of hemipelvises. Among them, the average of distance from the corona mortis to the symphysis pubis was (52.00±12.29) mm in male and (55.39±11.86) mm in female. There was no significant difference in the incidence and distance from communicating vessels to the symphysis pubis between male and female（P＞0.05）. Conclusion    The incidence of an anomalous obturator artery forming the arterial corona mortis among Chinese is 76.5%. The corona mortis crossing over the iliopubic rami should be taken attention during the ilioinguinal surgery.

Key words: pelvis, iliac vessels, obturator vessels, corona mortis