本文選題：足 + 足底腱膜��； 參考：《解剖學(xué)報(bào)》2017年05期

【摘要】：目的觀察足底腱膜的形態(tài)結(jié)構(gòu),為臨床應(yīng)用提供相關(guān)的解剖學(xué)資料。方法解剖50只10%甲醛固定的足,觀察足底腱膜淺層的形態(tài)結(jié)構(gòu);測(cè)量足底腱膜中間部(跖腱膜)止于跖骨頭處內(nèi)、外側(cè)纖維束的厚度與長度;跖腱膜中間部的厚度。結(jié)果足底腱膜淺層的纖維結(jié)構(gòu)主要參與前外側(cè)部足底脂肪墊的構(gòu)成,并形成與足底皮紋相似的螺旋纖維板狀結(jié)構(gòu),足跟部足底腱膜淺層的纖維結(jié)構(gòu)較為稀疏。中間部的厚度為(2.168±0.1139)mm;跖腱膜于第1跖骨頭處內(nèi)、外側(cè)纖維束的厚度分別為(1.33±0.08)mm、(1.46±0.07)mm,明顯大于止于2~5跖骨頭處的內(nèi)、外側(cè)纖維厚度,P0.05;第5跖骨頭處的內(nèi)、外側(cè)纖維厚度分別為(0.29±0.02)mm、(0.37±0.04)mm,明顯小于1~4跖骨頭處的內(nèi)、外側(cè)纖維厚度,P0.05。結(jié)論足底腱膜淺層主要參與足前外側(cè)脂肪墊的構(gòu)成,足底腱膜深層對(duì)維持足部縱弓的穩(wěn)定起著非常重要的作用,在足部受力時(shí)有效地避免足前部趾足底總神經(jīng)、趾足底總血管受壓。
[Abstract]:Objective to observe the morphological structure of plantar aponeurosis and to provide anatomic data for clinical application.Methods 50 feet fixed with 10% formaldehyde were dissected, the superficial layer of plantar aponeurosis was observed, the thickness and length of the lateral fibrous bundle and the thickness of the middle part of the plantar aponeurosis (metatarsal aponeurosis) were measured.Results the fibrous structure of the superficial plantar aponeurosis was mainly involved in the formation of the anterolateral plantar fat pad and formed a spiral fiberboard structure similar to that of the plantar skin stripe. The fibrous structure of the superficial plantar aponeurosis of the heel was relatively sparse.The thickness of the middle part was 2.168 鹵0.1139mm. the thickness of the plantar aponeurosis at the head of the first metatarsal bone and the thickness of the lateral fibrous bundle were 1.33 鹵0.08mm and 1.46 鹵0.07mm, respectively, which were significantly larger than the thickness of the mediolateral fiber at the head of the metatarsal bone (P0.05), and the thickness of the lateral fibrous bundle at the head of the metatarsal bone (P0.05).The thickness of the lateral fibers was 0.29 鹵0.02mm, 0.37 鹵0.04mm, which was significantly less than that of the medial and lateral fibers at the head of the metatarsal bone (P 0.05).Conclusion the superficial layer of plantar aponeurosis is mainly involved in the formation of anterolateral fat pad. The deep layer of plantar aponeurosis plays a very important role in maintaining the stability of longitudinal arch of foot.The common vessels of the toe and foot are compressed.
【作者單位】： 延邊大學(xué)醫(yī)學(xué)院臨床醫(yī)學(xué)系;延邊大學(xué)醫(yī)學(xué)院解剖學(xué)教研室;
【基金】：延邊大學(xué)2016年大學(xué)生創(chuàng)新創(chuàng)業(yè)訓(xùn)練計(jì)劃項(xiàng)目(ydbksky2016470)
【分類號(hào)】：R322.7
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本文編號(hào)：1750480