肩胛骨安全区的解剖

发布时间：2018-03-06 02:03

本文选题：肩胛上神经　切入点：肩胛骨解剖　出处：《解剖学报》2017年01期 　论文类型：期刊论文

【摘要】：目的通过解剖学研究,评估各个肩胛骨同一区域的差异,获得一个能有效避免医源性神经损伤的安全区,为施行和改良关节镜手术提供数据参考。方法选取100个保存完好的干肩胛骨,测量肩胛体、关节盂和肩胛上神经的走行路径,用统计学方法对所得数据进行处理和分析。结果肩胛体纵向最长距离(A)、肩胛体横向最长距离(B)、关节盂纵向最长距离(C)、关节盂横向最长距离(D)与肩胛切迹到盂上结节的距离(E)的皮尔森相关系数分别为:0.797、0.786、0.792、0.687;与冈下窝的后盂缘中线到肩胛冈嵴内侧缘的距离(F)的皮尔森相关系数分别为:0.368、0.381、0.403、0.396。根据统计学分析,国人的安全区即盂上结节到肩胛切迹的安全距离是2.2cm,冈下窝的后盂缘中线到肩胛冈嵴内侧缘的安全距离是1.3cm。结论对肩胛骨的相关指标进行评估,以便获得安全区以利于手术的进行,避免肩胛上神经的损伤;同时,线性方程预测也应该被应用于获取患者的肩胛上神经的相关解剖学数据。
[Abstract]:Objective to evaluate the differences in the same area of scapula and to obtain a safe area which can effectively avoid iatrogenic nerve injury through anatomical study. Methods 100 intact dry scapular bones were selected to measure the path of scapular body, glenoid and suprascapular nerve. Results the longest longitudinal distance of scapular body, the longest transverse distance of scapular body, the longest distance of articular glenoid, the longest transverse distance of articular pelvis, the longest transverse distance of articular pelvis, and the notch of scapula to the superior glenoid node were analyzed and analyzed by statistical method. The Pearson correlation coefficients of the segment (E) were respectively:: 0.7970.786n0.792n 0.687.The Pearson correlation coefficient with the distance from the posterior glenoid margin of the inferior fossa to the medial margin of the scapular crest was: 0.3680.381n0.4030.396.According to the statistical analysis, The safe distance between supraspinopelvic nodule and scapular notch in Chinese is 2.2 cm, and the safe distance between the middle line of posterior glenoid margin of inferior fossa and the medial margin of scapular ridge is 1.3 cm. Conclusion the relative indexes of scapular bone are evaluated. In order to obtain a safe area to facilitate the operation and avoid the injury of the suprascapular nerve, the linear equation prediction should also be used to obtain the anatomic data of the suprascapular nerve of the patient.
【作者单位】：郑州大学人体解剖学教研室;郑州大学临床医学院;
【分类号】：R687;R322.7

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