本文選題：大圓肌　切入點(diǎn)：肌痙攣　出處：《中國(guó)臨床解剖學(xué)雜志》2017年05期

【摘要】：目的準(zhǔn)確定位大圓肌神經(jīng)入肌點(diǎn)(NEP)的體表位置和穿刺深度。方法 12具中國(guó)成年人尸體。設(shè)計(jì)緊貼皮膚連接頸靜脈切跡最低點(diǎn)至肩峰尖為橫向參考線(H線)、頸靜脈切跡最低點(diǎn)至劍胸結(jié)合處為縱向參考線(L線)。解剖暴露大圓肌NEP,涂抹硫酸鋇,逐層復(fù)位縫合,CT掃描與三維重建。Syngo系統(tǒng)下確定大圓肌NEP的體表投影點(diǎn)(P);P通過(guò)NEP投影至背部皮膚上的點(diǎn)為P'點(diǎn);經(jīng)P的垂線與H線的交點(diǎn)記為PH,經(jīng)P的水平線與L線的交點(diǎn)記為PL;分別測(cè)量PH和PL在H和L線上的百分位置及NEP的百分深度。結(jié)果大圓肌NEP的PH位于H線的(9.59±1.24)%處,PL位于L線的(39.37±2.45)%處;NEP深度位于PP'線的(41.83±2.98)%處。結(jié)論這些參數(shù)可為提高大圓肌痙攣的神經(jīng)阻滯效率和療效提供指導(dǎo)。
[Abstract]:Objective to locate accurately the body surface position and puncture depth of NEP (a muscle entry point of greater circle muscle). Methods 12 Chinese adult cadavers were used to design a cross reference line between the lowest point of the skin connecting jugular vein notch to the apical apex of the shoulder, and the rest of the neck. The lowest point of the vein notch to the junction of the sword chest is the longitudinal reference line L line. Anatomical exposure to NEP of the greater round muscle is applied to barium sulfate. Slice by layer reduction suture CT scan and 3D reconstruction. Syngo system to determine the surface projection point of the great round muscle (NEP) is the point of NEP projection to the skin of the back. The point of intersection between vertical line of P and line H is recorded as PH. the point of intersection of horizontal line of P and line L of P is recorded as PL.The percentage position of PH and PL on H and L lines and the depth of NEP are measured respectively. Results the PH of NEP of Magnus Magnus is 9.59 鹵1.24% of H line. The depth of NEP was 39.37 鹵2.45% of L line, and the depth of NEP was 41.83 鹵2.98% of PP' line. Conclusion these parameters can provide guidance for improving the efficiency and curative effect of nerve block in spasm of greater round muscle.
【作者單位】： 遵義醫(yī)學(xué)院解剖學(xué)教研室;習(xí)水縣公安局司法鑒定中心;
【基金】：國(guó)家自然科學(xué)基金(31540031) 貴州省科技廳聯(lián)合基金(LH-2015-7528)
【分類號(hào)】：R322;R651

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本文編號(hào)：1669030