共查询到20条相似文献,搜索用时 15 毫秒
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目的:了解桡神经浅支卡压的依据并讨论了该征的诊断及治疗原则。方法:解剖观测了20具40侧成人上肢标本桡神经浅支穿出处的局部解剖特点及其距桡骨茎突的距离,随访了12例患者,9例采用局部封闭治疗,3例采用手术神经松解治疗。结果:桡神经浅支穿出部位为腱性组织所包绕。该处筋膜将肱桡肌腱挤在一起,从而易于受压。临床随访6个月至2年,保守及手术治疗患者症状均完全消失无复发。结论:解剖:桡神经浅支在前臂中下段易发生卡压有其解剖学基础。临床上病程短症状轻患者保守治疗往往能有较好疗效,病程长症状重或存在其它病理性压迫患者往往需要手术治疗。 相似文献
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《The Journal of hand surgery》2022,47(11):1121.e1-1121.e6
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《The Journal of hand surgery》2020,45(4):360.e1-360.e4
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Daniela Klitscher Lars P. Müller Pol Rommens 《European journal of trauma and emergency surgery》2007,33(1):69-73
Abstract 10 embalmed cadaver forearms and wrists were dissected to determine the anatomical course of the superficial branch of the
radial nerve in the distal forearm. The superficial radial nerve bifurcated in two branches at a mean of 54,7 mm proximal
to the radial styloid. From the styloid process of the radius, the mean distance to the closest dorsal branch of the superficial
radial nerve was 3,5 mm and the mean distance to the closest volar branch was 9,8 mm. The mean distance between the closest
branch of the superficial radial nerve and Lister?s tubercle was 16,4 mm. The crossing point between the nerve and the cephalic
vein was located at a mean of 54,3 mm proximal to the styloid process. At the level of styloid process the mean distance between
the closest dorsal branch of the superficial radial nerve and the first dorsal compartment was 15,2 mm and between the closest
volar branch and the first dorsal compartment 4,4 mm. Detailed knowledge of anatomic characteristics of the superficial branch
of the radial nerve may help prevent injury during operations and treat traumatic lesions of the nerve. Because of great variations
in the course of the superficial radial nerve we could not define an absolute safe zone for surgical procedures on the distal
forearm. Iatrogenic lesions of the superficial radial nerve are described complications of percutaneous procedures. Therefore
open surgical approaches are recommended.
Daniela Klitscher and Lars Peter Müller contributed equally to this work. 相似文献
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桡神经浅支及其分支的解剖学研究及临床意义 总被引:1,自引:0,他引:1
目的通过对尸体标本桡神经浅支的解剖学研究为减少桡神经浅支的医源性损伤提供帮助。方法通过对40具尸体40侧桡神经浅支的解剖,观测其分支类型、变异、解剖学路径及其同周围组织间关系,并进行相关数据统计学分析。结果按照Ikiz和Ucerler对桡神经浅支的分型,I型29例(72.5%),II型2例(5%),III型3例(7.5%)。40例中4例桡神经浅支的SR3分支缺如,1例桡神经浅支缺如。桡神经浅支同鼻烟壶区、第一背侧间隔、头静脉、桡动脉、前臂外侧皮神经等周围组织间存在一定关系。统计分析显示桡骨茎突同桡神经浅出点间最短距离与第一掌指关节同桡骨背突间距离存在显著相关性,其回归方程为y=1.0138x-0.0015(R2=0.5222,R=0.732)(P0.05)。结论通过了解桡神经浅支及其分支的分型、变异、与周围组织的关系并结合其浅出点等体表定位能使笔者减少对其意外的损伤。 相似文献