本文選題：肩胛上神經(jīng) + 肩胛上橫韌帶�。� 參考：《吉林大學(xué)》2010年碩士論文

【摘要】： 觀測(cè)肩胛上神經(jīng)的起始、走行、分布及其分支的數(shù)目、直徑及與周圍結(jié)構(gòu)的毗鄰關(guān)系。通過對(duì)相關(guān)數(shù)據(jù)的量化分析,探討肩胛上神經(jīng)卡壓綜合癥的原因,肩胛上神經(jīng)行程中的局部解剖學(xué)特點(diǎn)與肩胛上神經(jīng)卡壓綜合癥臨床表現(xiàn)的聯(lián)系及其治療過程中需要臨床醫(yī)生注意的有關(guān)方面,從而為該疾病的診斷和治療提供解剖學(xué)依據(jù)。選擇20具(40側(cè))10%甲醛防腐固定的成人尸體標(biāo)本,其中男性尸體13具,女性尸體7具。尸體標(biāo)本完好,無肩胛區(qū)組織病變。標(biāo)本于5倍手術(shù)顯微鏡下行肩胛區(qū)顯微解剖,觀測(cè)肩胛上神經(jīng)的走行、分支、分布特點(diǎn)及與周圍結(jié)構(gòu)的毗鄰關(guān)系。結(jié)果顯示:①肩胛上橫韌帶質(zhì)地強(qiáng)韌,韌帶長13.93±5.19(7.02～22.84) mm,中部厚2.30±0.57(1.42～2.94) mm;肩胛下橫韌帶稍松軟,呈鐮形,該韌帶長22.22±5.66(15.46～32.74)mm,中部厚2.27±0.40(1.64～2.72) mm。②肩胛上神經(jīng)由起點(diǎn)至肩胛上孔之間的長度為:48.07±7.27(39.16～60.28)mm,起點(diǎn)處肩胛上神經(jīng)的外徑為1.49±0.33(0.98～1.92)mm,肩胛上神經(jīng)由肩胛上孔至肩胛下孔的長度為19.36±3.73(15.32～26.58)mm。③肩胛上神經(jīng)與肩胛上血管之間關(guān)系:神經(jīng)走在韌帶下方進(jìn)入孔內(nèi),動(dòng)靜脈走在韌帶外上方,占85%(34例),神經(jīng)和血管組成血管神經(jīng)束走在韌帶下方,進(jìn)入孔內(nèi),占12.5%(5例),神經(jīng)和靜脈在韌帶下方入孔,動(dòng)脈單獨(dú)行于韌帶上方,占2.5%(1例)。④肩胛上神經(jīng)在岡盂切跡處的轉(zhuǎn)折角角度變動(dòng)在32.0°～66.0°之間,平均為50.68°±8.46°(左側(cè)50.5°±9.06°;右:50.85°±7.80°)。結(jié)論:肩胛上孔和肩胛下孔處是肩胛上神經(jīng)潛在的損傷部位,肩胛上、下橫韌帶的增厚或肩胛上、下孔的變小,都易卡壓和損傷肩胛上神經(jīng)。
[Abstract]:The origin, course, distribution and number of branches, diameters and proximity to the surrounding structure of the suprascapular nerve were observed. The causes of suprascapular nerve compression syndrome were discussed by quantitative analysis of related data. The relationship between the local anatomical characteristics of the suprascapular nerve and the clinical manifestations of the suprascapular nerve compression syndrome and the relevant aspects in the course of its treatment which need the attention of the clinicians are discussed. The anatomical basis for the diagnosis and treatment of the disease is provided. 20 adult cadavers with 10% formalin fixation were selected, including 13 male cadavers and 7 female cadavers. The cadaveric specimens were intact and had no pathological changes in the scapular region. The microanatomy of the scapular region was performed under a 5-fold operation microscope to observe the path, branches, distribution and adjacent relationship of the suprascapular nerve with the surrounding structure. The results showed that the suprascapular transverse ligament was strong and tough, the length of the ligament was 13.93 鹵5.19 ~ 7.02 ~ 22.84) mm and the middle part was 2.30 鹵0.57 ~ 1.42 ~ 2.94) mm, and the transverse ligament was slightly soft and falciform. The relationship between the nerve and the suprascapular vessels: the nerve walks below the ligament into the foramen, The arteries and veins walked above the ligaments, accounting for 34 cases, and the nerves and blood vessels formed the vascular and nerve bundles under the ligaments and entered the foramen in 5 cases, accounting for 12.5% of the tumors. The nerves and veins entered the foramen below the ligaments, and the arteries went alone over the ligaments. The angle of turning angle of suprascapular nerve at the incisor glenoid was 32.0 擄/ 66.0 擄, with an average of 50.68 擄鹵8.46 擄(left 50.5 擄鹵9.06 擄; right: 50.85 擄鹵7.80 擄). Conclusion: the suprascapular foramen and subscapular foramen are the potential injury sites of suprascapular nerve. The thickening of suprascapular and inferior transverse ligament or the reduction of inferior foramen are easy to compress and injure the suprascapular nerve.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R322

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 茆懷海,竇忠新,鄒開軍,汪愛國,王文富,阮國輝;小針刀治療肩胛上神經(jīng)嵌壓癥的應(yīng)用解剖[J];中國臨床解剖學(xué)雜志;2001年03期

2 潘曦東,單云官,姚班,陳金源;肩胛上神經(jīng)肩關(guān)節(jié)支的解剖學(xué)觀測(cè)[J];解剖學(xué)雜志;1994年04期

3 盧秉文,姜國華,張君,韓玉生;肩胛上神經(jīng)皮支8例[J];解剖學(xué)雜志;1998年01期

4 汪愛國,鄒開軍,任立新,陳秀清,茆懷海;腋神經(jīng)和肩胛上神經(jīng)及其分支聯(lián)合阻滯治療肩周炎的應(yīng)用解剖[J];南京軍醫(yī)學(xué)院學(xué)報(bào);2001年03期

5 黃德清,劉曉平,沈志鵬,丁自海,高承文,王溪濤;肩胛上神經(jīng)的定位解剖[J];頸腰痛雜志;1997年04期

6 趙延旭;顧立強(qiáng);徐達(dá)傳;李澤宇;;肩袖合并肩胛上神經(jīng)損傷原因的解剖學(xué)研究[J];中國臨床解剖學(xué)雜志;2006年06期

7 何端;;肩胛上神經(jīng)損傷的解剖學(xué)研究[J];廣州醫(yī)學(xué)院學(xué)報(bào);1992年02期

8 竇忠新,茆懷海,陳秀清,阮國輝,王文富,鄒開軍,汪愛國;肩胛上神經(jīng)和腋神經(jīng)聯(lián)合阻滯治療肩周炎的應(yīng)用解剖[J];中國臨床解剖學(xué)雜志;2000年03期

9 盧秉文;何端;;肩胛上神經(jīng)綜合征的解剖學(xué)基礎(chǔ)[J];青島大學(xué)醫(yī)學(xué)院學(xué)報(bào);1982年02期

10 官士兵;侯春林;陳德松;顧玉東;;后入路副神經(jīng)移位修復(fù)肩胛上神經(jīng)術(shù)式的臨床應(yīng)用研究[J];科技導(dǎo)報(bào);2006年06期

相關(guān)會(huì)議論文 前10條

1 周英男;洪友廉;張如一;王克鵬;高汝勤;;肩胛上神經(jīng)損傷力學(xué)機(jī)制的實(shí)驗(yàn)研究[A];第四屆全國運(yùn)動(dòng)生物力學(xué)學(xué)術(shù)會(huì)議論文集（四）[C];1983年

2 倪雅鳳;;16例肩胛上神經(jīng)卡壓綜合征臨床與電生理檢查分析[A];2008年浙江省神經(jīng)病學(xué)學(xué)術(shù)年會(huì)論文匯編[C];2008年

3 高友俊;尹秀香;黃麗君;;肩胛上神經(jīng)卡壓并正中神經(jīng)卡壓的注射治療8例報(bào)告[A];第四屆東西方國際疼痛會(huì)議、中華醫(yī)學(xué)會(huì)疼痛學(xué)會(huì)第三屆年會(huì)暨麻醉學(xué)組第三屆學(xué)術(shù)會(huì)議論文摘要集[C];2000年

4 潘寶祥;;針刀治療肩胛上神經(jīng)卡壓癥(附10例臨床報(bào)告)[A];跨世紀(jì)骨傷杰出人才科技成果薈萃[C];2004年

5 潘寶祥;;針刀治療肩胛上神經(jīng)卡壓癥(附10例臨床報(bào)告)[A];第四次全國微創(chuàng)骨外科手術(shù)暨中西醫(yī)結(jié)合骨科學(xué)術(shù)會(huì)議論文集[C];2005年

6 孫貴吉;;針刀剝離松解肩胛上神經(jīng)治療肩周炎33例[A];針刀醫(yī)學(xué)論文精選[C];1999年

7 官士兵;王增濤;陳德松;史其林;顧玉東;;后入路副神經(jīng)移位修復(fù)肩胛上神經(jīng)術(shù)式的臨床應(yīng)用研究[A];第二屆華東地區(qū)骨科學(xué)術(shù)大會(huì)暨山東省第九次骨科學(xué)術(shù)會(huì)議論文匯編[C];2007年

8 王志偉;;肩胛上神經(jīng)卡壓綜合征的診斷和治療[A];中國藥學(xué)會(huì)全國骨科藥物與臨床應(yīng)用學(xué)術(shù)研討會(huì)論文集[C];2006年

9 張文光;陳躍;;小針刀治療肩胛上神經(jīng)岡下支卡壓癥的應(yīng)用解剖學(xué)研究[A];針刀醫(yī)學(xué)論文精選[C];1999年

10 韓久卉;張英澤;田德虎;韓金豹;郭爾斐;查君璞;;副神經(jīng)移位至肩胛上神經(jīng)修復(fù)臂叢神經(jīng)損傷的遠(yuǎn)期療效分析[A];第七屆全國創(chuàng)傷學(xué)術(shù)會(huì)議暨2009海峽兩岸創(chuàng)傷醫(yī)學(xué)論壇論文匯編[C];2009年

相關(guān)重要報(bào)紙文章 前1條

1 武漢協(xié)和醫(yī)院 副主任醫(yī)師 張敏;頸肩部疼痛未必是頸椎病惹的禍[N];家庭醫(yī)生報(bào);2009年

相關(guān)碩士學(xué)位論文 前1條

1 芮晶;后路副神經(jīng)移位修復(fù)肩胛上神經(jīng)術(shù)后神經(jīng)電生理恢復(fù)分析[D];復(fù)旦大學(xué);2009年

，

本文編號(hào)：1782094