腕部尺神經(jīng)管結(jié)構(gòu)及尺神經(jīng)卡壓的解剖學(xué)研究
發(fā)布時(shí)間:2018-03-05 11:39
本文選題:腕前區(qū) 切入點(diǎn):尺神經(jīng)管 出處:《吉林大學(xué)》2007年碩士論文 論文類型:學(xué)位論文
【摘要】: 腕部尺神經(jīng)管又稱Guyon管,位于小魚際肌區(qū)的近端,豌豆骨和鉤骨鉤之間的一個(gè)狹窄的間隙。其中走行著尺神經(jīng)、尺動(dòng)脈、尺靜脈等結(jié)構(gòu),然而管內(nèi)空間狹小,是尺神經(jīng)容易受到卡壓的部分。由于腕部尺神經(jīng)管存在著個(gè)體差異,就是同一個(gè)體的左右手也存在著差異,加之其結(jié)構(gòu)比較復(fù)雜,位置的深淺不同,并且與周圍許多結(jié)構(gòu)關(guān)系密切。自1861年Guyon首先描述了腕尺管的解剖,并指出尺神經(jīng)在此部位有卡壓的可能以來,國內(nèi)外的許多學(xué)者對(duì)該區(qū)和尺神經(jīng)卡壓綜合癥做了研究,但因該區(qū)域結(jié)構(gòu)的復(fù)雜性和研究角度的不同,使腕部尺神經(jīng)管的解剖學(xué)數(shù)據(jù)、尺神經(jīng)卡壓病因的探求方面的資料仍顯不足。本文利用20具(40側(cè))防腐成人手臂標(biāo)本,顯微解剖,觀察腕部尺神經(jīng)管的形態(tài)結(jié)構(gòu),尺動(dòng)脈的形態(tài),對(duì)重要結(jié)構(gòu)進(jìn)行量化分析,并對(duì)尺神經(jīng)神經(jīng)走行、分支以及該區(qū)域與周圍結(jié)構(gòu)的關(guān)系、腕部尺神經(jīng)管綜合癥引起的病因等問題做了研究。以期為今后的臨床手術(shù)及保護(hù)重要的神經(jīng)、血管提供顯微解剖學(xué)依據(jù)。
[Abstract]:The ulnar canal of the wrist, also known as the Guyon canal, is located at the proximal end of the hypothenar area, a narrow gap between the pea bone and the hook. It runs along the ulnar nerve, ulnar artery, ulnar vein, etc. The ulnar nerve is liable to be compressed. Because of the individual differences in the ulnar nerve canal of the wrist, even the same individual's right and left hand are different, in addition, its structure is quite complex, and its position is different in depth and depth. Since Guyon first described the anatomy of the ulnar canal in 1861 and pointed out that the ulnar nerve might be compressed in this area, many scholars at home and abroad have studied the compression syndrome of the ulnar nerve in this area. However, due to the complexity of the structure of the region and the different research angles, the anatomical data of the ulnar nerve canal of the wrist and the exploration of the etiology of ulnar nerve entrapment are still insufficient. In this paper, 20 adult arms (40 sides) were embalmed and microdissected. The morphological structure of ulnar nerve canal and ulnar artery of wrist were observed, and the important structures were analyzed quantitatively. The walk and branch of ulnar nerve and the relationship between the region and the surrounding structure were also studied. The etiology of ulnar nerve tube syndrome in wrist was studied in order to provide microanatomical basis for clinical operation and protection of important nerves and blood vessels in the future.
【學(xué)位授予單位】:吉林大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2007
【分類號(hào)】:D919
【參考文獻(xiàn)】
相關(guān)期刊論文 前3條
1 張鳳蘭,楊廣忠,鐘世鎮(zhèn),徐達(dá)傳;尺管的應(yīng)用解剖[J];新疆醫(yī)學(xué)院學(xué)報(bào);1998年03期
2 丁健;路來金;陳臨煒;;腕部尺神經(jīng)卡壓的解剖學(xué)研究及其臨床意義[J];中國臨床解剖學(xué)雜志;2006年03期
3 周楓,方有生,陳德松;腕部尺神經(jīng)深支卡壓綜合征[J];中國修復(fù)重建外科雜志;1999年04期
,本文編號(hào):1570135
本文鏈接:http://sikaile.net/shekelunwen/gongan/1570135.html
教材專著