利用股深动脉介入法治疗下肢缺血解剖学观测.docVIP

利用股深动脉介入法治疗下肢缺血解剖学观测 　【摘要】 目的 为利用股深动脉介入法治疗下肢缺血性疾病提供解剖学依据。方法 采用成人尸体标本65具(男35，女30)，解剖、观察股深动脉的起点、分支与吻合；测量外径、夹角和可游离长度；观察股深动脉的毗邻关系。结果 股深动脉起始部外径为5.53±1.15mm；旋股内侧动脉深支和旋股外侧动脉升支的外径分别为3.14±0.65mm和2.96±0.47mm，与主干的夹角分别约85.2±14.5°和135.3±12.5°。在股三角中部，由前向后依次为隐神经和股动脉、股静脉，股深静脉和股深动脉者占74.37%，股深动脉前后还与一些小静脉和纤维索相邻。结论 股深动脉可用来治疗下肢缺血性疾病，但与附近血管神经的关系复杂，容易造成多发性血管损伤；旋股内侧动脉深支和旋股外侧动脉升支可作为介入治疗股骨头缺血性坏死的首选血管。 【关键词】 股动脉 解剖学 下肢 缺血/ 治疗 放射学 介入性 Abstract: Objective To provide anatomical data for interventional therapy of ischemic lower limbs through deep femoral artery. Methods The origins, the branches and anastomosis, the origin diameter, the dissociated length, the angles and the adjacent relations of deep femoral artery were observed and measured after dissection in 65 adult Chinese cadavers (males 35, females 30). Results The origin diameter of the deep femoral artery is 5.53±1.15mm. The diameters of the deep branch of medial femoral circumflex artery and the ascending branch of lateral femoral circumflex artery are 3.14±0.65mm and 2.96±0.47mm, respectively, the angles of them with aorta are 85.2±14.5° and 135.3±12.5°. In the middle part of femoral triangle, are the saphenous nerve and the femoral artery, the femoral vein, the deep femoral vein and the deep femoral artery, from the front part to backward one by one, occupying 74.37%. In addition, there are some little veins and fibres adjacent to the deep femoral artery. Conclusion The deep femoral artery can be used as an inflow site for interventional therapy of ischemic lower limbs, but as for the complex of its adjacent to other vascular nerves, multiple vascular injuries easily occurred. The preferred arteries are the deep branch of medial femoral circumflex artery and the ascending branch of lateral femoral circumflex artery for the treatment of ischemic necrosis of femoral head. Key words: deep femoral artery; anatomy; lower extremity; ischemia/therapy; radiology, interventional 股深动脉的几个重要分支参与构成髋周围动脉网和膝关节动脉网。这些吻合形成了从髂内动脉至胫血管的纵向侧支网络，成为利用股深动