横腹肌与直腹肌在各种解剖学里程碑水平上的关系:一个尸体研究
Totsapol Surichamorn1, Thiti Tantitham1
1Division of Plastic and Maxillofacial Surgery, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Archives of plastic surgery
|January 23, 2025
概括
后部分离 (PCS) 手术指南是使用尸体剖析开发的. 这项研究澄清了直腹肌和横腹肌肌肉的分离,有助于更安全的腹壁重建和减少神经损伤.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术技巧 手术技巧
- 腹壁的重建 腹壁的重建
背景情况:
- 后部分离 (PCS) 是腹壁重建的关键手术技术.
- 在PCS期间最大限度地减少肋间神经损伤需要了解直腹肌和横腹肌肌肉解剖学.
- 尸体研究对于详细的解剖学研究至关重要.
研究的目的:
- 为了研究直腹肌和横腹肌之间的解剖关系.
- 确定肋间神经与这些肌肉相对的位置.
- 为更安全的后部件分离 (PCS) 程序提出实际指南.
主要方法:
- 18个新鲜尸体的解剖.
- 评估直腹肌和横腹肌的重叠/分离在七个腹部水平.
- 测量肋间神经距离从直肠腹部的侧边缘.
主要成果:
- 肌肉重叠观察到体和腹部上部水平.
- 肌肉分离开始于2/4以上到部水平以下.
- 肋间间神经以可变的距离进入;在上方3/4以上的水平似乎对剖析更安全.
结论:
- 建议开始PCS切口,切口在子体和2/4上部到骨之间.
- 基于肌肉关系和神经附近的指导方针提高了外科手术的安全性.
- 这种方法简化了腹壁重建的手术内决策.
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