前臂內側、外側皮神經(jīng)與淺表靜脈關系的應用解剖學研究
本文關鍵詞:前臂內側、外側皮神經(jīng)與淺表靜脈關系的應用解剖學研究 出處:《吉林大學》2008年碩士論文 論文類型:學位論文
更多相關文章: 前臂內側皮神經(jīng) 前臂外側皮神經(jīng) 神經(jīng)移植
【摘要】: 前臂內側皮神經(jīng)(Medial forearm cutaneous nerve,MACN)在腋腔內由臂叢內側束起始后,首先行經(jīng)腋動、靜脈之間,然后走在腋靜脈的內側向遠側行進入臂部與肱靜脈伴行,行于臂部深筋膜深面與肱靜脈之間。前臂外側皮神經(jīng)(Forearm lateralcutaneous nerve,LCAN)在腋腔內由臂叢外側束發(fā)出,它穿出喙肱肌后,走在肱二頭肌及肱肌之間,終末支在肘窩處穿出深筋膜。位于頭靜脈深面、內側或外側。前臂內、外側皮神經(jīng)目前多用于神經(jīng)修復及移植。由于前臂內側、外側皮神經(jīng)分支較多,且分布的類型和相關解剖學數(shù)據(jù)變異較大,從而使臨床上修復周圍神經(jīng)損傷及皮神經(jīng)移植面臨一定的困難。另外至目前為止,雖然有些學者結合臨床皮瓣神經(jīng)的應用和創(chuàng)傷修復,對上肢前臂內、外側皮神經(jīng)進行了一些觀察,然而對成人的前臂內、外側皮神經(jīng)與淺表靜脈關系,前臂內、外側皮神經(jīng)淺出點及止點位置,以及體表投影的應用研究甚少。為此,本研究利用30側成人上肢標本,在測量前臂內、外側皮神經(jīng)基礎解剖學數(shù)據(jù)的同時,對前臂內、外側皮神經(jīng)的體表投影進行了全面細致的研究,以期為臨床治療提供重要的解剖學依據(jù)。
[Abstract]:Medial forearm cutaneous (forearm) of the medial forearm cutaneous nerve were first transaxillary and intervenously initiated by the medial bundle of the brachial plexus in the axillary cavity. Then walk to the medial side of the axillary vein and enter the brachial vein with the brachial vein. Between the deep fascia of the arm and the brachial vein. Forearm lateralcutaneous nerve of the lateral cutaneous nerve of the forearm. LCAN (LCAN) comes from the lateral bundle of brachial plexus in axillary cavity. It passes through the coracobrachial muscle, walks between the biceps brachii and brachialis muscle, and the terminal branch penetrates deep fascia at the cubital fossa. It is located on the deep surface of the cephalic vein, medial or lateral, and in the forearm. At present, the lateral cutaneous nerve is mostly used for nerve repair and transplantation. Because of the medial forearm, there are many branches of the lateral cutaneous nerve, and the distribution types and related anatomical data vary greatly. So it is difficult to repair peripheral nerve injury and cutaneous nerve transplantation in clinic. In addition, up to now, some scholars have combined the application of clinical flap nerve and wound repair to the forearm of upper limb. Some observations were made on the lateral cutaneous nerve, however, the relationship between the lateral cutaneous nerve and the superficial vein in the adult forearm, the location of the superficial point and the stop point of the lateral cutaneous nerve in the forearm. For this reason, 30 adult upper limb specimens were used to measure the basic anatomical data of the forearm and lateral cutaneous nerve. The surface projection of lateral cutaneous nerve was studied in detail in order to provide important anatomical basis for clinical treatment.
【學位授予單位】:吉林大學
【學位級別】:碩士
【學位授予年份】:2008
【分類號】:R322
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