【摘要】： 我們設計了以遠端腕橫紋為橫坐標,3、4掌骨間隙的縱行線為縱坐標的手掌部二分法。通過19側(cè)新鮮標本的顯微解剖學研究,應用該方法分別觀測了正中神經(jīng)、尺神經(jīng)及其分支在該坐標系內(nèi)的體表投影位置。 通過本組研究證明:1手掌兩分區(qū)法具有簡明實用的特點,依據(jù)神經(jīng)分支點體表投影的位置,可以準確地判斷正中神經(jīng)、尺神經(jīng)及其分支在手部的走行及分布;2手掌部正中神經(jīng)、尺神經(jīng)及其分支的位置相對恒定,但仍存在一定的變異;3依據(jù)對神經(jīng)分支點的測量結(jié)果,可設計腕管綜合癥、腕尺管綜合癥、正中神經(jīng)返支探查與尺神經(jīng)深支探查手術(shù)的合理切口。
[Abstract]:We designed a method of palmar division with the vertical line of the space between the distal carpal striae and the metacarpal space as the vertical coordinate and the transverse striation of the distal wrist as the transverse coordinate of the metacarpal space. Based on the microanatomical study of 19 fresh specimens, the projection positions of median nerve, ulnar nerve and their branches in this coordinate system were observed by this method. It is proved by this study that the two-partition method of "1: 1 palm" is simple and practical. According to the position of the surface projection of the nerve branch point, the median nerve, the ulnar nerve and its branches can be accurately judged and distributed in the middle nerve of the palm. The position of ulnar nerve and its branches is relatively constant, but there are still some variations. According to the measured results of nerve branches, carpal tunnel syndrome and ulnar tunnel syndrome can be designed. Rational incision for exploration of recurrent branch of median nerve and deep branch of ulnar nerve.
【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】：R322

【參考文獻】

相關(guān)期刊論文 前10條

1 陳良富,饒利兵,蘇筱玲;手掌分區(qū)與正中神經(jīng)和尺神經(jīng)[J];解剖學雜志;2005年01期

2 孫革,張守軍;正中神經(jīng)返支卡壓綜合征5例[J];牡丹江醫(yī)學院學報;2002年04期

3 崔懷瑞;樓新法;徐象黨;陳國榮;楊新東;蔣松鶴;;合谷穴與尺神經(jīng)深支的位置關(guān)系[J];溫州醫(yī)學院學報;2006年02期

4 李紹光;顧立強;邵巖;孫天勝;;尺神經(jīng)干中手內(nèi)肌功能束組的分布定位[J];中國臨床康復;2006年24期

5 李紹光,顧立強,邵巖;尺神經(jīng)干中手內(nèi)肌功能束組走行分布的顯微解剖學研究[J];中華創(chuàng)傷骨科雜志;2003年03期

6 朱家愷;周圍神經(jīng)損傷的若干進展[J];中華創(chuàng)傷骨科雜志;2004年01期

7 黎鳴;楊克非;曹海偉;;前臂和手的正中神經(jīng)與尺神經(jīng)吻合支的研究進展[J];中華物理醫(yī)學與康復雜志;2006年08期

8 單云官,魏煥萍,楊少華,王衛(wèi)平;尺管的解剖學觀測及其臨床意義[J];中國臨床解剖學雜志;1989年01期

9 張紹祥;何光篪;劉正津;;斷掌再植血管解剖學基礎的進一步研究[J];中國臨床解剖學雜志;1992年03期

10 邵巖,顧立強,李紹光;正中神經(jīng)魚際肌支功能束定位顯微外科解剖[J];中國臨床解剖學雜志;2003年05期

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