髂肌

Objective: To study the diagnostic value of CT on enlarged iliopsoas bursa.

目的 ：探讨髂腰肌囊扩张的CT表现，诊断价值及鉴别。

The principal muscles involved in hip flexion are the psoas and the iliacus, collectively known as the iliopsoas.

主要涉及肌肉，在髋关节屈曲的腰肌和髂，统称为髂。

With 3D-doctor software, kidney, adrenal, ureter, abdominal aorta, inferior vena cava, the nephritic artery and vein, the lymph nodes beside abdominal aorta, thoracic duct, the intrailiac artery and vein, pelvis, spermaduct, prostate, the prostatic plexus, bladder, male urethra and internal obturator muscle were segmented and three-dimensional reconstructed in P4 computer. 3. With photoshop7.0 software, the major organs of the male urological and reproductive system such as ureter, bladder, urethra, prostate were segmented and the grey- color mode images through segmentation were imported to AMIRA software.

应用连续图像分割软件3D-DOCTOR，分别对肾脏、肾上腺、输尿管、腹主动脉、下腔静脉、肾动静脉、腹腔淋巴结、胸导管、主动脉旁淋巴结、髂内外动静脉、骨盆、股骨、输精管、附睾、前列腺、前列腺周围静脉丛、膀胱、男性尿道、直肠、闭孔内肌、肛提肌、尾骨肌等结构进行结构数据的分割与提取，并在PentiumⅣ计算机上完成已分割结构的三维重建。

METHODS: Employing Health-Carter method, the 218 college students were measured on the indexes of biepicondylar breadth of the humerus, biepicondylar breadth of the femur, tricps skinfold, subscapular skinfold, suprailiac skinfold, medial calf skinfold, body length, body weight, upper arm girth flexed and tensed and calf girth. Every index was measured 3 times and average values were adopted, and compared to that of other regions.

采用Heath-Carter体型法对218 名在校大学生进行肱骨内外上髁、股骨内外侧髁间径及肱三头肌位、肩胛下位、髂前上棘位、腓肠肌位皮褶厚度，身高、体质量、臂最大收缩围和小腿围测量。10项指标均由专人负责，每项指标测量3次，取其平均值作为测量结果，并与其他地区大学生体型进行比较。

The abdominal wall in the left lower quadrant, 2 finger breadths (3 cm) cephalad and 2 finger breadths medial to the anterior superior iliac spine, has been shown to be thinner and with a larger pool of fluid than the midline and is usually a good choice for needle insertion for performance of a therapeutic paracentesis.27 The right lower quadrant may be a suboptimal choice in the setting of a dilated cecum or an appendectomy scar.

在过去，常常将腹部正中线耻骨与肚脐中间定为穿刺点，现在，由于腹腔穿刺引流大量液体以及腹中部脂肪厚度增加，左下腹成为腹腔穿刺部位（表1），在左下腹部中线至髂前上棘连线上2指宽（3cm）与距髂前上棘2指宽，已经显示较中部脂肪少及腹水较多是治疗性腹腔穿刺好的首选部位27，在盲肠有扩张或阑尾切除术后瘢痕时右下腹是次选的穿刺部位，应避开腹壁下动脉，这些血管走行在耻骨与髂前上棘之间的中线然后在腹直肌中向上行走，，腹壁可见的侧支循环亦应该避开，腹腔镜检查发现侧支循环可出现在中线并且在腹腔穿刺时有导致血管破裂的风险28。

Make sure that you don't do this, it can lead to a host of problems including Achilles tendonitis, ITB pain, and iliopsoas muscle pain.

千万不要这样做，它将导致很多伤害，包括足腱，**髂胫束疼痛和髂腰肌疼痛。

Methods Twenty-eight patients with neurogenic fecalinco ntinence (4 to 12 years of age), underwent suspension of pelvic floor by bilateral transposition of iliopsoas muscle. Pelvic floor training was started 3 week spost-operatively. The continence was assessed on clinical symptoms, Barium en ema and anal manometry.

本组28例，年龄4～12岁，手术方式为双侧髂腰肌转移盆底肌加强或替代术，术后第3周起行康复训练，采用临床主观评定、钡灌肠以及直肠肛管测压相结合的方式对其肛门功能进行评价。

RESULTS. Significantly larger tibial torsion, tighter iliopsoas, hamstrings, quadriceps, and gastrocnemius, and greater fatigue rate of the VMO relative to the VL were found in the PFPS group as compared to the control group. DISCUSSION AND CONCLUSION.

值设为0.01。结果：相较於对照组，髌股疼痛症候患者具有较大的胫骨扭转角度并呈现髂腰肌、股直肌、膕旁肌、腓长肌柔软度较差的情形，且其股内斜肌相较於股外肌也有较高的疲乏速率。

The accessory measures included: 1 To break iliopsoas and adductor, to tractate femur condyle; 2 femoral shortening and derotational osteotomy; 3人-shaped plaster fixation of single coxa ; 4 early movement of the hip joint after operation and was allowed ambulatory late; 5 the hip joint was mobilized passively. Results The complete reduction rate of the hip joint was 100%.

辅助手段包括：(1)髂腰肌及内收肌切断，股骨髁上骨牵引；(2)股骨粗隆下旋转加短缩截骨；(3)单髋人字石膏制动；(4)髋关节早活动，晚负重；(5)术后被动活动髋关节加主动功能锻炼。

The accessory methods include:1cutting of iliopsoas and adductor muscles and traction of the femur.2 femoral shortening and derotational osteotomy.3 plaster fixation of hip.4 early movement of the hip joint after operation and late ambulation.5 rehabilitation of the hip joint passively and actively.

辅助手段包括：①髂腰肌及内收肌切断，股骨髁上骨牵引；②股骨粗隆下旋转加短缩截骨；③单髋人字石膏制动；④髋关节早活动，晚负重；⑤术后被动活动髋关节加主动功能锻炼。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。