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目的:测量闭孔与周围骨性标志间的距离关系,积累相关应用解剖学数据。方法:选取完整女性髋骨49例(其中左侧20例,右侧29例),用游标卡尺、圆规和直尺测量闭孔与与周围骨性标志间的距离。结果:测得左、右侧闭孔前后结节、闭孔最长径、尿道括约肌附着点至耻骨结节、尿道括约肌附着点至坐骨结节中点、坐骨结节中点至闭孔、坐耻弓长、坐耻弓中点宽、耻骨结节至闭孔前结节、耻骨结节至髂耻隆起、坐骨结节中点至坐骨棘的距离分别为31.8±3.6 mm和31.5±4.2 mm、45.7±3.9 mm和46.9±3.9mm、60.5±5.6 mm和54.9±6.0 mm、58.4±8.5 mm和61.7±6.3 mm、32.7±1.9 mm和32.8±3.6 mm、45.6±5.6 mm和46.7±4.0mm、13.1±2.7 mm和12.8±2.8 mm、40.6±4.3 mm和38.8±6.5 mm、49.6±4.0 mm和47.8±4.8 mm、42.9±4.4 mm和41.9±7.0mm,左右侧差异无统计学意义(P>0.05)。结论:闭孔解剖学测量资料可为相关疾病诊治及妇科和盆会阴部手术提供一定的解剖学依据。
OBJECTIVE: To measure the distance between the obturator and surrounding bone markers and to accumulate relevant anatomic data. Methods: Forty-nine cases of complete hip (including 20 cases on the left and 29 cases on the right) were enrolled in this study. The distance between the obturator obstruction and the surrounding bony mark was measured by calipers, compasses and rulers. Results: The left and right closed obturatorial nodules, the longest obturator foramen, the urethral sphincter attachment point to the pubic tubercle, the urethral sphincter attachment point to the midpoint of the ischial tuberosity, the midpoint to the ischial tuberosity, Shame bow, shame bow midpoint wide, pubic nodules to closed obturator nodules, pubic nodules to iliac shame uplift, the distance from the midpoints of ischial tuberosity to ischial spines were 31.8 ± 3.6 mm and 31.5 ± 4.2 mm , 45.7 ± 3.9 mm and 46.9 ± 3.9 mm, 60.5 ± 5.6 mm and 54.9 ± 6.0 mm, 58.4 ± 8.5 mm and 61.7 ± 6.3 mm, 32.7 ± 1.9 mm and 32.8 ± 3.6 mm, 45.6 ± 5.6 mm and 46.7 ± 4.0 mm , 13.1 ± 2.7 mm and 12.8 ± 2.8 mm, 40.6 ± 4.3 mm and 38.8 ± 6.5 mm, 49.6 ± 4.0 mm and 47.8 ± 4.8 mm, 42.9 ± 4.4 mm and 41.9 ± 7.0 mm, respectively, with no significant difference between left and right sides (P > 0.05). Conclusion: Closed-hole anatomical data can provide anatomical basis for diagnosis and treatment of gynecological diseases and pelvic perineal surgery.