發(fā)布時間：2019-05-30 08:35

【摘要】：目的測量并統(tǒng)計成人干燥肩胛骨各個結(jié)構(gòu)部位的解剖數(shù)據(jù),為設(shè)計臨床骨折內(nèi)固定材料提供基礎(chǔ)解剖學依據(jù)。 方法利用精確度為0.01mm的游標卡尺,對已知性別的成人男女肩胛骨干燥標本各40個進行形態(tài)學觀察測量,取得肩胛岡上角厚度、下角厚度、肩峰頂點厚度、肩峰寬度(肩峰最低點至上緣最小距離)等肩胛骨的17項數(shù)據(jù),根椐測量結(jié)果,設(shè)計內(nèi)固定材料,并應(yīng)用于臨床。 結(jié)果已知性別的成套成人男女各40副肩胛骨干燥標本,肩胛骨內(nèi)外側(cè)緣、肩峰、肩胛岡等17處基本數(shù)據(jù)并結(jié)合臨床肩胛骨骨折手術(shù)病例得知,對于肩胛骨肩胛岡,肩胛頸部骨折,因為該部位骨折較厚,目前可以用重建鋼板塑形配合拉力螺釘進行固定,并且可以獲得滿意效果。但對于岡上窩、岡下窩等肩胛骨薄弱區(qū)域,普通材料無法放置把持固定,目前沒有良好的內(nèi)固定材料予以固定。 結(jié)論肩胛骨形態(tài)、結(jié)構(gòu)特殊,根據(jù)其解剖結(jié)構(gòu)特點,肩胛骨岡下窩等肩胛骨薄弱區(qū)域無法放置常規(guī)內(nèi)固定材料,設(shè)計出用于固定肩胛骨薄弱區(qū)域改良騎縫釘(專利號：201420320131-3),為該處骨折的患者提供骨折固定。
[Abstract]:Objective to measure and count the anatomical data of various structural parts of dry scapula in adults, and to provide basic anatomical basis for the design of internal fixation materials for clinical fractures. Methods 40 dry scapular specimens of adult men and women with known sex were observed and measured by Vernier caliper with accuracy of 0.01mm. The thickness of the upper corner of the scapula, the thickness of the lower corner and the top of the shoulder peak were obtained. According to the measured results, the internal fixation material was designed and applied to 17 items of scapula, such as the width of shoulder peak (the minimum distance from the lowest point of shoulder peak to the minimum distance of upper edge) and so on. Results 40 pairs of dry scapula specimens, 17 basic data of scapular medial and lateral margin, acromion and scapula, combined with clinical cases of scapular fracture, were found in 40 pairs of dry scapular specimens, 17 basic data of scapula and so on. Scapular neck fracture, because of the thick fracture, can be fixed with reconstruction plate shaping combined with tension screw, and satisfactory results can be obtained. However, for the weak areas of scapula, such as supragaoka fossa and subganglia fossa, the common material can not be placed and fixed, and there is no good internal fixation material to fix it at present. Conclusion the shape and structure of scapula are special. According to the anatomical characteristics of scapula, it is impossible to place conventional internal fixation materials in the weak areas of scapula, such as subscapular fossa. A modified riding nail for fixing weak areas of scapula (patent number: 201420320131 / 3) was designed to provide fracture fixation for patients with fractures there.
【學位授予單位】：青島大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R687.3;R322

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