肘管综合征的应用解剖学研究

发布时间：2018-03-25 03:19

本文选题：肘管综合征　切入点：Struthers弓形组织　出处：《吉林大学》2007年硕士论文

【摘要】： 目的:尺神经为臂丛内侧束的主要分支,尺神经从臂丛发出后,沿臂内侧下降至肘部,尺神经在肘部容易卡压形成肘管综合征,肘管综合征是最常见的尺神经卡压综合征,同时也是仅次于腕管综合征的第二大外周神经卡压综合征。国内外对于肘管综合征的研究报道较多,主要为弓状韧带的长度、宽度和厚度,尺神经管内神经直径、肘管的直径、尺神经沟的深度、肘管的长度和内上髁宽度以及尺神经的营养血管及伴行长度等方面的研究报道。本研究旨在对肘管综合征中造成尺神经的卡压的因素进行解剖学研究,观测尺神经潜在的卡压因素的解剖学位置,为临床手术治疗肘管综合征提供详尽的解剖学依据。方法:采用正常解剖方法对教学用的8具(16侧)经10%福尔马林防腐固定1～2年成人上肢标本进行解剖,其中男性7具,女性1具,观察造成尺神经卡压的Struthers弓形组织、内侧肌间隔、肘管、肘管内侧壁的弓状韧带,同时对尺神经的尺侧腕屈肌肌支进行解剖学研究。使用游标卡尺(精确度为0.002cm)测量相关的数据,所得数据用SPSS10.0软件进行统计学分析。结果:通过对16侧成人湿性上肢标本进行解剖,观察造成肘管综合征尺神经卡压的卡压因素及潜在的卡压位点,并对其进行解剖学观察和测量,掌握其相关的解剖学位置关系,获得造成尺神经卡压部位的相关数据,丰富临床关于肘管综合征的相关解剖学资料,进一步指导临床更好的进行肘管综合征的手术。
[Abstract]:Objective: the ulnar nerve is the main branch of the medial bundle of the brachial plexus. The ulnar nerve descended from the brachial plexus to the elbow, and the ulnar nerve was easily compressed to form the cubital tunnel syndrome. The cubital tunnel syndrome is the most common compression syndrome of the ulnar nerve. At the same time, it is also the second largest peripheral nerve compression syndrome after carpal tunnel syndrome. There are more reports on cubital tunnel syndrome at home and abroad, including length, width and thickness of arcuate ligament, nerve diameter in ulnar nerve tunnel and cubital tunnel diameter. The depth of ulnar nerve sulcus, the length of the cubital tunnel and the width of the medial epicondyle, the nutrient vessels of the ulnar nerve and the accompanying length of the ulnar nerve were reported. The purpose of this study was to anatomically study the factors causing ulnar nerve entrapment in the cubital tunnel syndrome. The anatomical location of ulnar nerve potential entrapment factors was observed to provide detailed anatomical basis for the treatment of cubital tunnel syndrome. Methods: the specimens of adult upper limbs (7 males and 1 female) were dissected by 10% formalin for 1 ~ 2 years (7 males and 1 female). The Struthers arcuate tissue which caused ulnar nerve compression was observed. The arcuate ligaments of medial septum, cubital tunnel, medial wall of cubital tunnel, and the branches of ulnar flexor muscle of ulnar nerve were also studied. The related data were measured with Vernier caliper (accuracy 0.002 cm). The data were analyzed by SPSS10.0 software. Results: the compression factors and potential compression sites of ulnar nerve entrapment in 16 adult wet upper limb specimens were observed and measured. Grasp its related anatomical position, obtain the related data of ulnar nerve compression, enrich the anatomic data of cubital tunnel syndrome, and further guide the operation of cubital tunnel syndrome.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R688;R322

【参考文献】