本文選題：肘關(guān)節(jié)鏡 + 入路　； 參考：《中國(guó)微創(chuàng)外科雜志》2017年06期

【摘要】：目的探討3種肘關(guān)節(jié)鏡前外側(cè)入路定位點(diǎn)與橈神經(jīng)(深支)的解剖關(guān)系。方法選用福爾馬林浸泡的成人肘關(guān)節(jié)標(biāo)本10個(gè),對(duì)3個(gè)不同的肘關(guān)節(jié)鏡前外側(cè)入路點(diǎn)(入路A:肱骨外上髁遠(yuǎn)端3 cm,前方1 cm;入路B:肱骨外上髁遠(yuǎn)端2cm,前方2 cm;入路C:肱骨外上髁遠(yuǎn)端1 cm,前方1 cm)定位、解剖,測(cè)量伸直位和屈曲90°位與橈神經(jīng)(深支)的最近距離。結(jié)果前外側(cè)入路A、B、C伸直位與橈神經(jīng)(深支)的最近距離分別為(2.30±0.95)、(3.00±1.56)、(3.60±1.65)mm,有統(tǒng)計(jì)學(xué)差異(F=11.097,P=0.001),前外側(cè)入路C距離橈神經(jīng)(深支)最遠(yuǎn),前外側(cè)入路A與C與橈神經(jīng)(深支)的最近距離有統(tǒng)計(jì)學(xué)差異(P=0.006),入路A與B、B與C無統(tǒng)計(jì)學(xué)差異(P_(A-B)=0.134,P_(B-C)=0.072)。前外側(cè)入路A、B、C屈曲90°位與橈神經(jīng)(深支)的最近距離分別為(4.40±2.01)、(6.10±1.79)、(7.90±1.85)mm,有統(tǒng)計(jì)學(xué)差異(F=54.775,P=0.000),前外側(cè)入路C距離橈神經(jīng)(深支)最遠(yuǎn),3種入路兩兩比較均有統(tǒng)計(jì)學(xué)差異(P_(A-B)=0.000,P_(A-C)=0.000,P_(B-C)=0.002)。體位由伸直位變屈曲90°位時(shí),前外側(cè)入路A點(diǎn)與橈神經(jīng)距離明顯增加(t=-5.161,P=0.001),B點(diǎn)與橈神經(jīng)距離明顯增加(t=-8.188,P=0.000),C點(diǎn)橈神經(jīng)距離明顯增加(t=-10.167,P=0.000)。結(jié)論肘關(guān)節(jié)鏡前外側(cè)入路點(diǎn)在肱骨外上髁遠(yuǎn)端1 cm,前方1 cm最安全。
[Abstract]:Objective to investigate the anatomical relationship between three anterior and lateral approaches of elbow joint and radial nerve (deep branch). Methods Ten adult elbow joint specimens soaked in formalin were used. Three different anterolateral approach points of elbow joint (A: 3 cm at the distal end of the lateral epicondyle of the humerus, 1 cm in front of the lateral epicondyle of humerus, 2 cm in front of the distal end of the lateral epicondyle of humerus, 2 cm in front, 2 cm in the distal end of the lateral epicondyle of humerus, C: 1 cm, 1 cm in front of the lateral epicondyle of humerus) were located and dissected. The nearest distance between extensional position and 90 擄flexion position and radial nerve (deep branch) was measured. Results the closest distance between the extension position of Agnor BANC and the radial nerve (deep branch) was 2.30 鹵0.95mm. the distance was 3.00 鹵1.56mm. there was statistical difference between the two groups. The distance between the anterior lateral approach and the radial nerve (deep branch) was the furthest from C to the radial nerve (deep branch), there was a statistical difference between the two groups (P < 0.01). The distance between the anterior lateral approach and the radial nerve (deep branch) was the furthest from C to the radial nerve (deep branch). There was significant difference in the nearest distance between A and C and radial nerve (deep branch) in anterolateral approach. There was no significant difference between A and B and C in approach A and B, and there was no significant difference between A and B in the approach. The closest distance between the anterolateral approach and the radial nerve (deep branch) was 4.40 鹵2.01mm. there was a statistical difference between the anterolateral approach and the radial nerve (deep branch). There was a statistical difference in the distance between the anterior lateral approach and the radial nerve (deep branch). The distance between the anterior lateral approach and the radial nerve (deep branch) was 6.10 鹵2.91 鹵1.79 and 7.90 鹵1.85 鹵7.90 鹵1.85, respectively. The distance between the anterolateral approach C and the radial nerve (deep branch) was significantly different. The distance between point A and radial nerve in anterolateral approach was significantly increased when the position changed from extensional position to flexion position at 90 擄position. The distance between point B and radial nerve was significantly increased, and the distance between point A and radial nerve was increased obviously. Conclusion the anterior lateral approach point of elbow joint is 1 cm at the distal end of the lateral epicondyle of humerus, and 1 cm in front of the lateral epicondyle of humerus.
【作者單位】： 西南醫(yī)科大學(xué)附屬醫(yī)院骨關(guān)節(jié)科;
【基金】：四川省科技廳基金項(xiàng)目(13012)
【分類號(hào)】：R687.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 邢益仿 ,林尤柄;經(jīng)髖前外側(cè)入路人工股骨頭置換術(shù)[J];海南醫(yī)學(xué);2001年10期

2 錢塘,陳友春;前外側(cè)入路人工股骨頭置換術(shù)前牽引臨床療效分析[J];淮海醫(yī)藥;2001年03期

3 戴閩;鄒帆;張斌;聶濤;程明;鄒樝;江川;;改良髖前外側(cè)入路與髖外側(cè)入路治療老年股骨粗隆間骨折療效比較[J];中國(guó)修復(fù)重建外科雜志;2012年08期

4 劉又文;高書圖;陳獻(xiàn)韜;米豫飛;陳柯;李建明;張穎;張曉東;田可為;;前外側(cè)入路微創(chuàng)人工全髖關(guān)節(jié)置換術(shù)的臨床研究[J];醫(yī)藥論壇雜志;2009年06期

5 陳紅衛(wèi);趙鋼生;張根福;潘俊;;改良的前外側(cè)入路治療脛骨平臺(tái)后外側(cè)骨折[J];臨床骨科雜志;2012年05期

6 王歡,白倫浩,劉學(xué)勇,李雷,王海義;低位前外側(cè)入路微創(chuàng)全髖置換術(shù)[J];中國(guó)醫(yī)科大學(xué)學(xué)報(bào);2004年06期

7 高禮層;秦濤;麻文謙;;肩峰下前外側(cè)入路治療老年肱骨近端骨折療效觀察[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2013年01期

8 趙敦炎;侍德;;經(jīng)髖關(guān)節(jié)前外側(cè)入路人工股骨頭置換術(shù)的體會(huì)[J];南通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);1988年02期

9 耿德春;徐耀增;黃立新;李榮群;周峰;楊惠林;;前外側(cè)入路微創(chuàng)全髖置換的技術(shù)要點(diǎn)[J];中國(guó)組織工程研究與臨床康復(fù);2010年09期

10 袁榮鋒;黃立新;成紅兵;李俊杰;;髖前外側(cè)入路人工全髖置換術(shù)198例分析[J];南通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2008年01期

相關(guān)會(huì)議論文 前2條

1 陳紅衛(wèi);趙鋼生;張根福;潘駿;;改良的前外側(cè)入路治療脛骨平臺(tái)后外側(cè)骨折[A];2013中國(guó)工程院科技論壇暨浙江省骨科學(xué)學(xué)術(shù)年會(huì)論文摘要集[C];2013年

2 劉又文;高書圖;陳獻(xiàn)韜;米豫飛;陳柯;李建明;張穎;張曉東;田可為;;前外側(cè)入路微創(chuàng)人工全髖關(guān)節(jié)置換術(shù)的臨床研究[A];首屆全國(guó)中西醫(yī)結(jié)合骨科微創(chuàng)學(xué)術(shù)交流會(huì)暨專業(yè)委員會(huì)成立大會(huì)論文匯編[C];2011年

，

本文編號(hào)：1921147