前臂内侧、外侧皮神经与浅表静脉关系的应用解剖学研究

发布时间：2017-12-31 20:23

本文关键词：前臂内侧、外侧皮神经与浅表静脉关系的应用解剖学研究　出处：《吉林大学》2008年硕士论文　论文类型：学位论文

【摘要】： 前臂内侧皮神经(Medial forearm cutaneous nerve,MACN)在腋腔内由臂丛内侧束起始后,首先行经腋动、静脉之间,然后走在腋静脉的内侧向远侧行进入臂部与肱静脉伴行,行于臂部深筋膜深面与肱静脉之间。前臂外侧皮神经(Forearm lateralcutaneous nerve,LCAN)在腋腔内由臂丛外侧束发出,它穿出喙肱肌后,走在肱二头肌及肱肌之间,终末支在肘窝处穿出深筋膜。位于头静脉深面、内侧或外侧。前臂内、外侧皮神经目前多用于神经修复及移植。由于前臂内侧、外侧皮神经分支较多,且分布的类型和相关解剖学数据变异较大,从而使临床上修复周围神经损伤及皮神经移植面临一定的困难。另外至目前为止,虽然有些学者结合临床皮瓣神经的应用和创伤修复,对上肢前臂内、外侧皮神经进行了一些观察,然而对成人的前臂内、外侧皮神经与浅表静脉关系,前臂内、外侧皮神经浅出点及止点位置,以及体表投影的应用研究甚少。为此,本研究利用30侧成人上肢标本,在测量前臂内、外侧皮神经基础解剖学数据的同时,对前臂内、外侧皮神经的体表投影进行了全面细致的研究,以期为临床治疗提供重要的解剖学依据。
[Abstract]:Medial forearm cutaneous (forearm) of the medial forearm cutaneous nerve were first transaxillary and intervenously initiated by the medial bundle of the brachial plexus in the axillary cavity. Then walk to the medial side of the axillary vein and enter the brachial vein with the brachial vein. Between the deep fascia of the arm and the brachial vein. Forearm lateralcutaneous nerve of the lateral cutaneous nerve of the forearm. LCAN (LCAN) comes from the lateral bundle of brachial plexus in axillary cavity. It passes through the coracobrachial muscle, walks between the biceps brachii and brachialis muscle, and the terminal branch penetrates deep fascia at the cubital fossa. It is located on the deep surface of the cephalic vein, medial or lateral, and in the forearm. At present, the lateral cutaneous nerve is mostly used for nerve repair and transplantation. Because of the medial forearm, there are many branches of the lateral cutaneous nerve, and the distribution types and related anatomical data vary greatly. So it is difficult to repair peripheral nerve injury and cutaneous nerve transplantation in clinic. In addition, up to now, some scholars have combined the application of clinical flap nerve and wound repair to the forearm of upper limb. Some observations were made on the lateral cutaneous nerve, however, the relationship between the lateral cutaneous nerve and the superficial vein in the adult forearm, the location of the superficial point and the stop point of the lateral cutaneous nerve in the forearm. For this reason, 30 adult upper limb specimens were used to measure the basic anatomical data of the forearm and lateral cutaneous nerve. The surface projection of lateral cutaneous nerve was studied in detail in order to provide important anatomical basis for clinical treatment.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R322

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