带血管蒂阔筋膜张肌及腱膜转位修补巨型腹股沟疝的应用解剖

目的:为带血管蒂阔筋膜张肌及腱膜转位修补巨型腹股沟疝提供解剖学基础。方法:在30例成人下肢标本上解剖观测了阔筋膜张肌的动脉血管分布,神经支配,肌腹和肌腱的长度等。结果:阔筋膜张肌动脉来源有旋股外侧动脉和臀上动脉,该肌由臀上神经支配,肌腹长度为112.31±3.13mm,髂经束的长度为315±6.8mm,额前上棘水平至腹肌外侧缘的距离,男性为168±7.5mm,女性为176±6.8mm。结论:阔筋膜张肌血供丰富,肌腱膜长,位置邻近腹股沟区,可作为巨型腹股沟疝修补的供体。

Applied Anatomy on Repairing the Big Indirect Inguinal Hernia via the Transposition of Musculi Tensor Fasciae Latae and Aponeurosis

Objective: To provide anatomical basis for the transposition of vascutarixed flap of tensor fasciae latae musculi and tensor fasciae latae musculi to repair big indirect inguinal hernia.Methods:The arterial blood supply,The innervation and the length of venter musculi and tender of tensor fasciae late muscule were observed on 30 adult lower limb specimens. Results: Arterial source has lateral circumfex femoral artery and arterial glulea inferior of tensor fasciae latae musculi. controlled by the nervi glutaeus superior, length of the venter was 145.31 ± 3.3mm,length of the iliace tibialis bundle was 315 ± 6.8mm, distance from the spina iliace anerior superior to rectus abdomins musculi outside was 168 ± 7.5mm(men) and 176 ± 6.8mm( women) . Conclusions:The tensor fasciae latae musculi possessed the advantages of rich blood supply, enough separable tendow length and close to the canalis inguinalis region. It can be a donator for the repairing of the big indirect inguinal hernia.