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1. 山东第一医科大学,山东省医学科学院人体解剖学教研室,山东,泰安,271016
2. 山东第一医科大学,山东省医学科学院医学概论教研室,山东,泰安,271016
3. 山东力明科技职业技术学院,山东,泰安,271016
纸质出版日期:2019,
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顿爱社, 孙丰刚, 王洪宾, 等. 尺神经手部分支的显微解剖学研究及其意义[J]. 局解手术学杂志, 2019,(4):253.
DUN Ai-she, SUN Feng-gang, WANG Hong-bin, et al. Microanatomical study and significance of hand branch of ulnar nerve[J]. null, 2019,(4):253.
目的 完善尺神经手部分支显微解剖结构特点及易卡压部位,探讨其临床意义。 方法 在头戴式放大镜下,对10具尸体标本20侧手部的尺神经分支进行纤维解剖,观察其走行及分布特点,测量相关数据。 结果 尺神经于腕关节近侧5 cm处发出尺神经手背支,穿过尺侧腕屈肌,经尺骨头尺侧进入腕背,分为桡侧分支和尺侧分支,桡侧分支又分为2支。尺神经在腕尺侧管内分为深、浅2支,浅支为感觉支,支配小指及环指尺侧半前面的皮肤和软组织;深支为肌支,分四段,发出分支支配大部分手肌。 结论 明确手部尺神经分支的走行、分布及其与周围结构的毗邻关系,对诊断手部神经卡压、定位探查手部尺神经分支损伤以及手术中避免破坏尺神经具有重要临床意义。
Objective To improve the microanatomical characteristics and structure of the hand branch of ulnar nerve and the most compressed site
and to explore its clinical significance. Methods Under the headmounted magnifying glass
the fibers of the ulnar nerve branches of 20 hands from 10 cadaver specimens were dissected to observe the derection and distribution characteristics
and the relevant data were measured. Results The ulnar nerve gave off the dorsal branch of the hand at 5 cm from the proximal side of the wrist joint.Passing through the ulnar flexor of wrist
it entered the dorsal wrist through the ulnar bone
and it was divided into the radial branch and the ulnar branch
and the radial branch was further divided into two branches.The ulnar nerve was divided into the deep branche and superficial branche in the ulnar carpal canal of the wrist.The superficial branch was the sensory branch
which supplied the skin and soft tissue in front of the little finger and ring finger.The deep branch was a muscle ramus divided into four branches that supplied most of the hand muscles. Conclusion It is of great importance to clear the direction
distribution and relationship adjacent to the surrounding structures of branch of the ulnar nerve
so as to diagnose the compressed site
localize the position of the injury of ulnar nerve branch of the hand
and avoid damage of the ulnar nerve during surgery.
尺神经手部分支显微解剖局部解剖应用解剖
ulnar nervehand branchmicroanatomyregional anatomyapplied anatomy
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