股骨头内吻合断裂支持带动脉重建血供的可行性研究

doi:10.13418/j.issn.1001-165x.2022.4.04

中国临床解剖学杂志 ›› 2022, Vol. 40 ›› Issue (4): 394-397.doi: 10.13418/j.issn.1001-165x.2022.4.04

股骨头内吻合断裂支持带动脉重建血供的可行性研究

张松强^1#，周广良^1#，邓伟¹，张向南¹，居发新²，李雷¹
鞠文¹，周正虎¹，李关兴¹，巨积辉¹，侯瑞兴¹*

1.苏州大学附属瑞华医院骨科，江苏苏州 215104； 2.宝应县人民医院骨科，江苏扬州 225800

收稿日期:2020-11-20 出版日期:2022-07-25 发布日期:2022-07-26
通讯作者: 侯瑞兴，主任医师，教授，博士生导师，E-mail：hourx@rxhospital.com
作者简介:张松强（1993-），男，在读硕士，研究方向：股骨头的血供重建基础研究，E-mail：zsongq@163.com；并列第一作者:周广良（1978-），男，在读博士，研究方向：股骨头血供基础研究，E-mail：zgl7811@126.com
基金资助:
江苏省青年医学人才项目（QNRC2016224）

Feasibility study on reconstruction of blood supply by anastomosing ruptured retinacular artery in the femoral head

Zhang Songqiang^1#, Zhou Guangliang^1#, Deng Wei¹, Zhang Xiangnan¹, Ju Faxin², Li Lei¹, Ju Wen¹, Zhou Zhenghu¹, Li Guanxing¹, Ju Jihui¹, Hou Ruixing¹*

1.Department of Orthopedics, Ruihua Affiliated Hospital of Soochow University, Suzhou 215104, Jiangsu Province, China; 2. Department of Orthopedics, Baoying County People’s Hospital, Yangzhou 225800, Jiangsu Province, China

Received:2020-11-20 Online:2022-07-25 Published:2022-07-26

摘要/Abstract

摘要： 目的探究模型动物股骨头内吻合断裂支持带动脉重建血供的可行性。方法选取20例成年家猪髋关节标本，用硫酸钡悬液通过囊外动脉环对股骨头进行灌注，观察各支持带动脉的分布及入股骨头后的走行特点。另20例标本建立头下型股骨颈骨折模型后，在股骨头表面凿一个三角形骨槽，显露头内最粗支持带动脉与股骨颈侧的血管断端进行端端吻合。用硫酸钡悬液检测吻合血管的通畅情况和股骨头的灌注情况。结果 20例灌注标本可观察到有3组支持带动脉为股骨头供血，各支持带动脉入头后的起始部分沿皮质下走行。向20例头下型股骨颈骨折模型动物的头内吻合的支持带动脉灌注硫酸钡悬液，均能顺利通过吻合口且在持续灌注后股骨头内的其它动脉均有硫酸钡悬液充盈。结论股骨头内吻合断裂支持带动脉的方法可行，可以恢复股骨头血供。

关键词: 支持带动脉, , , 股骨头, , , 股骨颈骨折, , , 血管吻合

Abstract: Objective To investigate the feasibility of reconstruction of blood supply by anastomosing ruptured retinacular artery in the femoral head. Methods Twenty cases of fresh hip specimens of adult pig were randomly selected to infuse the femoral head with barium sulfate suspension through the extracapsular arterial ring. The distribution of each retinacular artery and running characteristics after entering the femoral head were observed. In the other 20 cases, the model of subcapital femoral neck fracture was established firstly. On the surface of the femoral head, a triangle bone groove was pried to expose the retinacular artery in the femoral head. The broken end of the blood vessel in the femoral head side were carried out with the broken end of the blood vessel in the femoral neck side by the end-to-end anastomose. Finally, the barium sulfate suspension was used to detect the patency of anastomotic vessels and perfusion of femoral head. Results In the 20 perfused specimens, there were three groups of retinacular arteries supplying blood to the femoral head. After entering the femoral head, the initial parts of the retinacular arteries in the femoral head all traveled along the cortex. In the other 20 cases, the barium sulfate suspension can pass the anastomotic stoma smoothly. After continuous perfusion, other arteries in the femoral head were filled with barium sulfate suspension. Conclusions It is feasible to anastomose the ruptured retinacular artery with the femoral head, which can restore the blood supply of the femoral head.

Key words: Retinacular artery, , , Femoral head, , , Femoral neck fracture, , , Vascular anastomosis

中图分类号:

R322.121

张松强, 周广良, 邓伟, 张向南, 居发新, 李雷, 鞠文, 周正虎, 李关兴, 巨积辉, 侯瑞兴. 股骨头内吻合断裂支持带动脉重建血供的可行性研究[J]. 中国临床解剖学杂志, 2022, 40(4): 394-397.

Zhang Songqiang, Zhou Guangliang, Deng Wei, Zhang Xiangnan, Ju Faxin, Li Lei, Ju Wen, Zhou Zhenghu, Li Guanxing, Ju Jihui, Hou Ruixing. Feasibility study on reconstruction of blood supply by anastomosing ruptured retinacular artery in the femoral head[J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 394-397.

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股骨头内吻合断裂支持带动脉重建血供的可行性研究

Feasibility study on reconstruction of blood supply by anastomosing ruptured retinacular artery in the femoral head

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