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尺神经肌下前置术的应用解剖
引用本文:刘儒森,戴志刚,刘亚,唐树森.尺神经肌下前置术的应用解剖[J].潍坊医学院学报,2001,23(3):169-170.
作者姓名:刘儒森  戴志刚  刘亚  唐树森
作者单位:潍坊医学院附属医院
基金项目:山东省教育厅资助课题 (课题号 :J0 0K58)
摘    要:目的 为肘管综合征的治疗提供术式设计的解剖学依据。方法 观测20侧成人尸体上肢标本及32例患者尺神经移置前后的解剖变化。结果 尺侧上副动脉可与尺神经一同前置;皮下前置伸肘位时尺神经易受牵拉,肌下前置伸、屈肘时均不受牵拉;新肘管可充分容纳尺神经。结论 尺神经松解加肌下前置术符合生物力学及神经生理学要求,为治疗肘管综合征较佳术式。

关 键 词:尺神经压迫综合征  尺神经  肌下前置术
文章编号:1004-3101(2001)04-0169-02
修稿时间:2001年3月12日

Anatomical Study of Anterior Submuscular Transposition
LIU Ru-sen,DAI Zhi-gang,LIU Ya,et al.Anatomical Study of Anterior Submuscular Transposition[J].Journal of Weifang Medical College,2001,23(3):169-170.
Authors:LIU Ru-sen  DAI Zhi-gang  LIU Ya  
Abstract:Objective To investigate the mechanism of ulnar nerve anterior submuscular transposition in the treatment of cubit tunnel syndrome.Method 20 cubituses of adult cadavers and 32 patients were dissected,and the anatomical characteristics of the elbow and ulnar nerve were observed before and after ulnar nerve submuscular or subcutaneous transposition.Result Superior ulnar collateral artery could be transposed with ulnar nerve;New cubit tunnel was wide enough to contain ulnar nerve;When elbow was extended the ulnar nerve would be pulled in subcutaneous transposition.However,in submuscular,it would not.Conclusion Ulnar nerve anterior submuscular transposition is a better method for treating cubit tunnel syndrome.
Keywords:Ulnar nerve compression syndrome  Ulnar nerve  Submuscular transposition
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