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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Morphometry of the Iliolumbar Artery and the Iliolumbar Veins and Their Correlations with the Lumbosacral Trunk and the Obturator Nerve
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Morphometry of the Iliolumbar Artery and the Iliolumbar Veins and Their Correlations with the Lumbosacral Trunk and the Obturator Nerve

机译:lio腰动脉和the腰静脉的形态及其与腰ac骨干和闭孔神经的相关性

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Objectives: To reveal the variations of the iliolumbar artery and the iliolumabar veins and their correlation with the surrounding important structures.Methods: We dissected the iliolumbar region bilaterally in 20 formalin-fixed adult cadavers. The diameter of the iliolumbar artery at its origin, its length up to the branching point, the distance between the iliolumbar artery and the inferior margin of the fifth lumbar vertebra and the distance between the iliolumbar artery and the bifurcation point of the common iliac artery, were measured. The pattern of drainage, the dimensions, the points of confluence with the common iliac vein and the obliquity of the iliolumbar vein were noted. The correlation between the iliolumbar artery and the veins to the obturator nerve and the lumbosacral trunk was recorded.Results: The iliolumbar artery originated from the posterior trunk of the internal iliac artery or from the internal iliac artery. The mean diameter of the iliolumbar artery, at its origin, was 3.5±0.5 mm. The mean distance between the origin of the iliolumbar artery and the bifurcation point to the iliac and the lumbar branches was 12.2±5.5 mm. The distance between the origin of the iliolumbar artery and the lower edge of the fifth lumbar vertebra was 43.2±11.6 mm. The distance between the origin of the iliolumbar artery and the bifurcation point of the common iliac artery was 38.7±10.6 mm. The mean distance of the iliolumbar veins from the inferior vena cava, overall, was 35± 9.9 mm. The mean width of the mouth of the iliolumbar vein was10.7 ± 5.1 mm and the mean angle of obliquity of the vein with respect to the long axis of the common iliac vein was 75.50. The tributaries which drained into the main iliolumbar vein were variable. The iliolumbar artery passed anterior in 70% and it passed posterior to the obturator nerve in 30%. The veins were lying anterior to the obturator nerve in 45% and they were lying posterior in 55%. The multiple tributaries which drained into the iliolumbar vein relation of the tributaries were variable, few passed anterior and few passed posterior. The iliolumbar artery was seen anterior to the lumbosacral trunk in 30%, it was posterior in 54%, it was cleaved in 8% and the branches of the artery were passing on either side of the lumbosacral trunk to enclose it like a clasp in 8%. The veins were anterior to the lumbosacral trunk in 40% and they were posterior in 60%.Conclusion: The anatomical features of the iliolumbar artery, the iliolumbar veins and their correlation with the anatomical landmarks, which were presented here, would be helpful in decreasing the iatrogenic trauma to the neurovascular structures in the iliolumbar region.
机译:目的:揭示reveal腰动脉和the腰静脉的变化及其与周围重要结构的相关性。方法:我们在20只福尔马林固定的成年尸体中,从两侧解剖了lio腰区域。 i腰动脉的直径,至分支点的长度,the腰动脉与第五个腰椎下缘的距离以及the腰动脉与总动脉的分叉点之间的距离,被测量。记录引流方式,大小,与the总静脉的汇合点以及i腰静脉的倾斜度。记录i腰动脉与闭孔神经和腰ac干静脉的相关性。结果:i腰动脉起源于内动脉后干或trunk内动脉。 lum腰动脉的平均直径在其起点为3.5±0.5 mm。 i腰动脉起点与to,腰分支的分叉点之间的平均距离为12.2±5.5 mm。 lio腰动脉起点与第五个腰椎下缘之间的距离为43.2±11.6 mm。 lum腰动脉的起点与the总动脉的分叉点之间的距离为38.7±10.6 mm。 lum腰静脉与下腔静脉的平均总距离为35±9.9 mm。 lum腰静脉口的平均宽度为10.7±5.1 mm,相对于the总静脉长轴的静脉倾斜角度为75.50。流入i腰主静脉的支流是可变的。 lum腰动脉通过前路的占70%,通过闭孔神经后路的占30%。静脉位于闭孔神经前,占45%,后侧占55%。流入支流the腰静脉关系的多个支流是可变的,很少通过前部,很少通过后部。 i腰动脉在腰s干的前方占30%,在腰54干的后方占54%,在8%处被劈开,动脉分支从腰trunk干的任一侧穿过,像扣环一样将其围起来8 %。结论:lum腰动脉的解剖学特征及其与解剖标志的相关性在腰trunk骨前部的静脉中占40%,在腰椎后部的占60%。医源性创伤对the腰区神经血管结构的影响。

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