[1]陈卫衡,齐亮,林坤弟,等.非创伤性股骨头坏死股骨头供血动脉解剖类型研究[J].中医正骨,2012,24(02):11-13.
 CHEN Wei-heng*,QI Liang,LIN Kun-di,et al.Femoral artery anatomy types of Non-traumatic osteonecrosis of the femoral head[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(02):11-13.
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非创伤性股骨头坏死股骨头供血动脉解剖类型研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年02期
页码:
11-13
栏目:
临床研究
出版日期:
2012-02-25

文章信息/Info

Title:
Femoral artery anatomy types of Non-traumatic osteonecrosis of the femoral head
作者:
陈卫衡12齐亮2林坤弟2张印2王和鸣1
1.福建中医药大学,福建 福州 350108;
2.中国中医科学院望京医院,北京 100102
Author(s):
CHEN Wei-heng*QI LiangLIN Kun-diZHANG YinWANG He-ming.*
Fujian Traditional Chinese Medical University,Fuzhou 350108,Fujian,China
关键词:
股骨头坏死 股骨头供血动脉 动脉解剖类型
Keywords:
Femoral head necrosis Femoral artery Artery anatomy types
摘要:
目的:探讨非创伤性股骨头坏死患者股骨头供血动脉解剖类型及其对发病的影响。方法:回顾分析了60例75髋经旋股内外 动脉插管造影融通术治疗的非创伤性股骨头坏死患者股骨头供血动脉造影资料,将其统计分析并与正常人进行对比,归纳出患者 股骨头供血动脉解剖走行特点及旋股内、外动脉起源类型。结果:患者组股骨头血供深外干型(占41.10%)多于正常人组(占25%); 而深全干型(占34.25%)则少于正常人组(占52.78%)。患者组旋股内侧动脉多起源于股动脉(占58.11%),正常人组多起源于股深动 脉(占90.62%)。而两组旋股外侧动脉同样多起自股深动脉。结论:非创伤性股骨头坏死患者股骨头供血动脉解剖类型与正常人之 间存在一定差别,股骨头动脉的解剖类型异常可能对本病的发生产生一定的影响。
Abstract:
Objective:To investigate the femoral artery anatomy types of non-traumatic osteonecrosis of the femoral head(ONFH)and their relationship with the incidence of the desease.Methods:From April 2010 to March 2011,60 cases(75 hips)of non-traumatic ONFH were treated by internal and lateral femoral circumflex artery cannula angiography.The angiogram data collected in the surgery were analyzed and compared with femoral artery anatomy types of normal human.The features of vascular distribution in patients and their types classified by origin were generalized.Results:In the included cases,the type of femoral artery mainly consisted of Lateral- trunk(account for 41.10%)whose proportion was higher than its counterparts in normal people(25%)and All-trunk (account for 34.25%)whose proportion was lower than normal people(52.78%).The medial circumflex femoral artery of patients most commonly originated from femoral artery(account for 58.11%)that was quite different from control group whose artery originated from deep femoral artery(90.62%)in most cases.The lateral femoral circumflex artery of both groups inclined to equally originate from deep femoral artery.Conclusion:There are distinct differences between normal people and non-traumatic ONFH in femoral artery anatomy types.The abnormal femoral artery anatomy types are deemed to have certain impacts on the incidence of non-traumatic osteonecrosis of the femoral head.

参考文献/References:

[1] 刘鸿宇,邵大章,郭景瑞,等.股深动脉及其分支的应用解剖学观察[J].四川解剖学杂志,2001,9(3):137-139.
[2] 张胜昌,黄秀峰,赵爽,等.利用股深动脉介入法治疗下肢缺血的解剖学观测[J].右江民族医学院学报,2007,5:691-693.
[3] 丁家明,佘永华,张绍宇,等.股深动脉的解剖学观测及其临床意义[J].四川解剖学杂志,2004,12(4):270-271.
[4] 许本柯,徐达传,王兵,等.股骨头血供特点及临床意义[J].解剖学杂志, 2007,30(3):371-373.
[5] 路奎元,黄公怡,王福权,等.圆韧带在股骨头缺血坏死过程中的病理变化及意义[J].骨与关节损伤杂志,1997,12(1):14-15.
[6] 刘丕峰.股深动脉及其分支的定位[J].张家口医学院学报,2001,18(3):19-21.
[7] Johnson E,Soultanis K,Soucacos P.Vascular anatomy and microcirculation of skeletal zones vulnerable to osteonecrosis:vascularization of thefemoral head[J].Orthopedic Clinics of North America.2004,35:285-291.
[8] Atsumi T,Kuroki Y.Role of impairment of blood supply of the femoral head in the pathogenesis of idiopathic osteonecrosis[J].Clinics Orthopedic.1992,277:22-30.
[9] Gautier E,Ganz K,Krügel N,et al.Anatomy of the medial femoral circumflexartery and its surgical implications[J].Bone Joint Surgery 2000,82(5):679-683.

备注/Memo

备注/Memo:
2011-11-05收稿 2012-02-05修回
更新日期/Last Update: 2012-02-25