臀上神经的应用解剖

发布时间：2018-03-07 12:08

本文选题：臀上神经　切入点：臀中肌　出处：《四川解剖学杂志》2002年02期 　论文类型：期刊论文

【摘要】：为髋关节直接外侧入路确定臀上神经的体表投影和手术安全区 ,在 44侧的成人尸体标本上 ,解剖观测了与该入路关系紧密的臀上神经最下支分支的分布。结果手术入路的安全区为①在经大转子尖分别作与髂后上棘连线、髂嵴垂直连线、髂前上棘上方 3cm和髂前上棘连线 ,在这些连线上 ,最下支距大转子尖的距离分别为 5 5± 0 6、 4 8± 0 6、 4 3± 0 6、 6 4± 0 8cm ;②在经大转子外侧最凸点分别作与髂后上棘连线、髂嵴垂直连线、髂前上棘上方 6cm和 3cm的髂嵴连线 ,最下支距大转子外侧最凸点的距离分别为 1 0 0± 0 8、 9 0± 0 8、 7 5± 0 6、 8 9± 0 7cm。上述两组数值所在点作连线即分别为最下支神经的体表投影。结果表明 :投影以下至大转子尖或大转子外侧最凸点之间无明显血管神经分布 ,在此区内撑开臀中、小肌肌纤维显露髋臼均不会损伤臀上神经
[Abstract]:To determine the surface projection and surgical safety zone of the superior gluteal nerve through the direct lateral approach of the hip joint, 44 sides of adult cadavers, The distribution of the inferior branch of the superior gluteal nerve closely related to the approach was observed. Results the safe area of the surgical approach was 1 through the trochanter of the great trochanter to the posterior superior iliac spine and the iliac crest perpendicular to the iliac crest. 3 cm above the anterior superior iliac spine, and on these lines, The distance from the inferior branch to the tip of the greater trochanter was 5.5 卤0.6, 4.8 卤0.6, 4.3 卤0.6, 6.4 卤0.8 cm ~ (-2), respectively, which were connected with the superior iliac spine and the iliac crest perpendicular to the superior iliac spine through the lateral protrusions of the greater trochanter. The line of iliac crest was 6 cm and 3 cm above anterior superior iliac spine. The distance between the lowest branch and the protruding point of the lateral greater trochanter is 100 卤0.8, 9.0 卤0.8, 7.5 卤0.6, 8.9 卤0.7 cm respectively. There was no obvious distribution of blood vessels and nerves between the shadow and the apex of the great trochanter or the most protruding point outside the great trochanter. In the area of gluteal distraction, the exposure of muscle fibers to the acetabular does not damage the superior gluteal nerve.
【作者单位】：福建医科大学解剖学教研室福州市卫生学校解剖学教研室福州市卫生学校解剖学教研室
【分类号】：R322.85

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