摘要
目的 探讨后腹腔镜手术的应用解剖学基础。 方法 选择国人成人尸体 2 0具 ,男性12具 ,女性 8具。对其侧腹壁神经、血管和后腹膜间隙结构与后腹腔镜进路之间的距离进行测量。结果 髂嵴距腰下三角顶点的距离 :男性 :左侧 (4 0 2± 1 2 6)cm ,右侧 (3 83± 0 90 )cm ;女性 :左侧(3 90± 0 3 7)cm ,右侧 (3 87± 0 3 7)cm。髂腹下神经距髂嵴的距离 :男性 :左侧 (0 82± 0 13 )cm ,右侧(0 84± 0 0 8)cm ;女性 :左侧 (0 94± 0 0 6)cm ,右侧 (0 93± 0 10 )cm。肋下神经距肋缘下的距离 ,在腋后线和腋中线 :男性 :左侧分别为 (0 79± 0 2 6)cm、(1 65± 1 12 )cm ,右侧分别为 (0 78± 0 3 0 )cm、(1 5 9± 1 0 7)cm ;女性 :左侧分别为 (0 61± 0 14)cm、(1 3 7± 0 89)cm ,右侧分别为 (0 64± 0 13 )cm、(1 3 2± 0 95 )cm。肾下极水平输尿管距腰大肌外缘的距离 :男性 :左侧 (2 2 4± 0 67)cm ,右侧 (2 19±0 73 )cm ;女性 :左侧 (2 0 0± 0 2 3 )cm ,右侧 (1 91± 0 13 )cm。输尿管髂血管交界处距腰大肌外缘的距离 :男性 :左侧 (3 91± 0 5 9)cm ,右侧 (3 76± 0 5 3 )cm ;女性 :左侧 (3 43± 0 3 1)cm ,右侧 (3 85±0 43 )cm。 结论 临床上选择髂嵴上
Objective To discover the anatomical basis of retroperitoneoscopic surgery. Methods Twenty Chinese adult cadavers including 12 and 8 woman were anatomized. The relationship between nerves,vessels of the lateral abdominal wall, retroperitoneal structures and the path of retroperitoneoscopic surgery were measured. Results In male cadavers, the distance between the iliac crest and trigonum lumbale was 4 02±1 26 cm on the left, and 3 83±0 90 cm an the right. The distance between the iliac crest and iliohypogastricus nerve was 0 82±0 13 cm on the left and 0 84±0 08 cm on the right.The distance between the subcostal nerve and Ⅻ rib in the posterior axillary line and midaxillary line was 0 79±0 26 cm, 1 65±1 12 cm on the left and 0 78±0 30 cm,1 59±1 07 cm on the right respectively. The distance between the ureter of inferior pole of kidney and extra border of psoas was 2 24±0 67 cm on the left and 2 19±0 73 cm on the right. The distance between crossing of the ureter and iliac vessels and extra border of psoas was 3 91±0 59 cm on the left and 3 76±0 53 cm on the right. In female cadavers,the distance between the iliac crest and trigonum lumbale was 3 90±0 37 cm on the left and 3 87±0 37 cm on the right. The distance between the iliac crest and iliohypogastricus nerve was 0 94±0 06 cm on the left and 0 93±0 10 cm on the right.The distance between the subcostal nerve and Ⅻ rib in the posterior axillary line and midaxillary line was 0 61±0 14 cm and 1 37±0 89 cm on the left and 0 64±0 13 cm, 1 32±0 95 cm on the right respectively The distance between the ureter of inferior pole of kidney and extra border of psoas was 2 00±0 23 cm on the left and 1 91±0 13 cm on the right The distance between crossing of the ureter and iliac vessels and extra border of psoas was 3 43±0 31 cm on the left and 3 85±0 43 cm on the right. Conclusions The top of the trigonum lumbale which is 2 cm above the iliac crest selected as the first po
出处
《中华外科杂志》
CAS
CSCD
北大核心
2003年第2期87-89,共3页
Chinese Journal of Surgery
