本文選題：肘管綜合征　切入點：Struthers弓形組織　出處：《吉林大學》2007年碩士論文

【摘要】： 目的:尺神經為臂叢內側束的主要分支,尺神經從臂叢發(fā)出后,沿臂內側下降至肘部,尺神經在肘部容易卡壓形成肘管綜合征,肘管綜合征是最常見的尺神經卡壓綜合征,同時也是僅次于腕管綜合征的第二大外周神經卡壓綜合征。國內外對于肘管綜合征的研究報道較多,主要為弓狀韌帶的長度、寬度和厚度,尺神經管內神經直徑、肘管的直徑、尺神經溝的深度、肘管的長度和內上髁寬度以及尺神經的營養(yǎng)血管及伴行長度等方面的研究報道。本研究旨在對肘管綜合征中造成尺神經的卡壓的因素進行解剖學研究,觀測尺神經潛在的卡壓因素的解剖學位置,為臨床手術治療肘管綜合征提供詳盡的解剖學依據。 方法:采用正常解剖方法對教學用的8具(16側)經10%福爾馬林防腐固定1～2年成人上肢標本進行解剖,其中男性7具,女性1具,觀察造成尺神經卡壓的Struthers弓形組織、內側肌間隔、肘管、肘管內側壁的弓狀韌帶,同時對尺神經的尺側腕屈肌肌支進行解剖學研究。使用游標卡尺(精確度為0.002cm)測量相關的數據,所得數據用SPSS10.0軟件進行統(tǒng)計學分析。 結果:通過對16側成人濕性上肢標本進行解剖,觀察造成肘管綜合征尺神經卡壓的卡壓因素及潛在的卡壓位點,并對其進行解剖學觀察和測量,掌握其相關的解剖學位置關系,獲得造成尺神經卡壓部位的相關數據,豐富臨床關于肘管綜合征的相關解剖學資料,進一步指導臨床更好的進行肘管綜合征的手術。
[Abstract]:Objective: the ulnar nerve is the main branch of the medial bundle of the brachial plexus. The ulnar nerve descended from the brachial plexus to the elbow, and the ulnar nerve was easily compressed to form the cubital tunnel syndrome. The cubital tunnel syndrome is the most common compression syndrome of the ulnar nerve. At the same time, it is also the second largest peripheral nerve compression syndrome after carpal tunnel syndrome. There are more reports on cubital tunnel syndrome at home and abroad, including length, width and thickness of arcuate ligament, nerve diameter in ulnar nerve tunnel and cubital tunnel diameter. The depth of ulnar nerve sulcus, the length of the cubital tunnel and the width of the medial epicondyle, the nutrient vessels of the ulnar nerve and the accompanying length of the ulnar nerve were reported. The purpose of this study was to anatomically study the factors causing ulnar nerve entrapment in the cubital tunnel syndrome. The anatomical location of ulnar nerve potential entrapment factors was observed to provide detailed anatomical basis for the treatment of cubital tunnel syndrome. Methods: the specimens of adult upper limbs (7 males and 1 female) were dissected by 10% formalin for 1 ~ 2 years (7 males and 1 female). The Struthers arcuate tissue which caused ulnar nerve compression was observed. The arcuate ligaments of medial septum, cubital tunnel, medial wall of cubital tunnel, and the branches of ulnar flexor muscle of ulnar nerve were also studied. The related data were measured with Vernier caliper (accuracy 0.002 cm). The data were analyzed by SPSS10.0 software. Results: the compression factors and potential compression sites of ulnar nerve entrapment in 16 adult wet upper limb specimens were observed and measured. Grasp its related anatomical position, obtain the related data of ulnar nerve compression, enrich the anatomic data of cubital tunnel syndrome, and further guide the operation of cubital tunnel syndrome.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2007
【分類號】：R688;R322

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