摘要
目的:通过对骨盆界线进行解剖学研究,探讨如何才能避免在骨盆骨折和髋臼骨折手术中沿骨盆界线放置内固定物时发生螺钉进入关节、损伤重要血管和神经等严重并发症。方法:在12具骨盆标本的界线上做O,Q,A,B,C,D,E,F,G等标记点,并分为耻骨嵴区、闭孔区、髋臼区、后柱区、坐骨大切迹区和骶骨翼区6区,分别测定每区的长度和高度。结果:耻骨嵴区、闭孔区、髋臼区、后柱区、坐骨大切迹区和骶骨翼区的长度(x±s)分别为:(18.98±0.74)mm,(37.42±1.52)mm,(40.87±1.69)mm,(18.71±0.61)mm,(20.39±1.13)mm,(23.63±1.84)mm;高度分别为:(38.52±1.63)mm,(15.15±0.72)mm,(14.78±0.86)mm,(106.64±4.97)mm,(26.36±1.34)mm,(35.79±1.91)mm。结论:沿骨盆界线放置内固定物时应对骨盆界线进行分区,在各区内使用不同的固定方法。
Objective: To explore how to avoid severe complication when placing internal fixator along linea terminalis of pelvis on operation of fracture of acetabulum and pelvis through anatomic study of linea terminalis of pelvis, such as lag screw enter hip joint or important blood vessel and nerve are injuried. Methods: Label point of O, Q, A, B, C, D, E, F, G on linea terminalis of pelvis of 12 cases of pelvic specimen were made and linea terminalis of pelvis was divided into 6 regions: pubic crest region, obturator foramen region, acetabulum region, posterior column region, greater sciatic notch region and sacrum ala region. Length and height of all regions were measure respectively. Results: The length of pubic crest region, obturator foramen region, acetabulum region, posterior column region, greater sciatic notch region and sacrum ala region was (18.98±0.74) mm, (37.42±1.52) mm, (40.87±1.69) mm, (18.71±0.61)mm, (20.39±1.13)mm and (23.63±1.84)mm respectively; The height of above 6 regions was (38.52±1.63)mm, (15.15±0.72)mm, (14.78±0.86)mm, (106.64±4.97)mm, (26.36±1.34)mm and (35.79±1.91)mm respectively. Conclusions: When placing internal fixator along linea terminalis of pelvis, we can divide linea terminalis of pelvis into 6 regions and use different fixation method on different region.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2005年第2期153-156,共4页
Chinese Journal of Clinical Anatomy
关键词
髋臼
骨盆界线
内固定
解剖学
acetabulum
linea terminalis of pelvis
internal fixation
anatomy
