臂丛锁骨下部神经解剖学测量及临床应用

发布时间：2018-05-31 01:20

本文选题：臂丛锁骨下部 + 神经阻滞　；参考：《吉林大学》2009年硕士论文

【摘要】： 臂丛锁骨下部神经解剖关系复杂,是临床上肢神经阻滞、臂丛神经损伤的重要内容。本研究通过对臂丛锁骨下部神经的解剖,进一步熟悉和掌握此部分的组成及其内部臂丛的类型、走行、分布和与周围组织的位置关系,并进行解剖测量,为临床手术及麻醉提供参考。研究发现,锁骨中点下缘及喙突下神经较集中,可作为上臂神经阻滞的进针点,可于锁骨中点下约2cm处进针,或于喙突下一横指处进针,将取得较好的神经阻滞效果。臂丛锁骨下部神经位于腋鞘内,与腋血管关系密切,此处可能有联合血管神经损伤,在腋窝、锁骨下手术路入时也应注意其相互关系。锁骨下肌、肋锁韧带、胸小肌下间隙与臂丛锁骨下部神经关系密切,相关的病变将有可能造成臂丛神经鞘的卡压,引起胸廓出口综合征的临床症状。
[Abstract]:The anatomical relationship of the lower clavicular nerve of brachial plexus is complex, which is an important content of clinical upper limb nerve block and brachial plexus nerve injury. Based on the anatomy of the lower clavicular nerve of brachial plexus, this study is to know and master the composition of this part and the types of internal brachial plexus, walk, distribute and position relation with the surrounding tissues, and make anatomic measurement. To provide reference for clinical operation and anesthesia. It is found that the inferior edge of the middle clavicle and the subcoracoid nerve are concentrated and can be used as the needle point of the upper brachial nerve block. It can be used at about 2cm under the middle point of the clavicle or at the transverse finger under the coracoid process to obtain a better nerve block effect. The inferior clavicular nerve of brachial plexus is located in axillary sheath and is closely related to axillary vessels. The subclavian muscle, intercostal clavicular ligament, subpectoralis space and the lower clavicular nerve of brachial plexus are closely related to each other. The related lesions may result in the entrapment of brachial plexus sheath and the clinical symptoms of thoracic outlet syndrome.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R651.3;R322

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