髋臼静脉的应用解剖

目的 为髋关节手术提供髋臼静脉的形态学基础。方法 对28例(56侧)成人髋关节标本解剖，观察记录髋臼静脉的位置、走行、属支及回流。结果 髋臼静脉在髋臼切迹窝内由髋骨静脉(3-5支)和圆韧带静脉汇合而成，在汇合处形成静脉窦占39．29％，经闭孔静脉后支注入髂内静脉。结论髋臼静脉位于髋臼切迹窝内，起始处常形成较大的静脉窦，行经髋臼横韧带深面的髋臼孔。在髋关节手术中保护好髋臼静脉或静脉窦是避免大出血、脂肪栓塞的关键。

Applied anatomy of acetabulum vein

Objective To provide anatomical basis for surgical operations of the hip joint. Methods Dissection of 28 adult hip joint specimens (56 sides) was conducted. The position, courses, subordinate branches, and refluxes of the acetabulum vein were observed and recorded. Results The acetabulum vein was formed by the vein of hip bone (3-5 branches) and round ligament veins converged at the acetabulum fossa, in which the formation of venous sinus was 39.29%. The acetabulum vein originated out of the bore acetabulum with the acetabulum artery together through the obturator vein, and finally entered into the iliac vein. Conclusion The acetabulum vein originates from the inside of the acetabular fossa and often becomes bigger venous sinus in the acetabular fossa, passing through the hole of acetabulum in the depth of transverse acetabular ligament. Therefore, protection of the acetabulum vein or venous sinus is the key point to avoid massive hemorrhage and fat embolism in surgical operations of the hip joint.