中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2011年
6期
479-481
,共3页
王斌%尹佳丽%董秀芝%陈超%韩海生%李浩
王斌%尹佳麗%董秀芝%陳超%韓海生%李浩
왕빈%윤가려%동수지%진초%한해생%리호
正中神经%尺神经%神经移植%环指%应用解剖
正中神經%呎神經%神經移植%環指%應用解剖
정중신경%척신경%신경이식%배지%응용해부
Median nerve%Ulnar nerve%Nerve grafting%Ring finger%Applied anatomy
目的 为研究环指桡侧指神经支移植修复尺神经深支缺损提供解剖学基础. 方法 对16例32侧新鲜成人上肢进行观测.在10倍手术显微镜下对腕部尺神经深支、正中神经旋前方肌支和环指桡侧指神经支进行显微解剖及测量. 结果 正中神经旋前方肌支直径为(1.13±0.02)mm,正中神经环指桡侧指神经支直径为(1.17±0.05)mm,对掌肌管出口处尺神经深支直径为(1.75±0.07)mm.显微镜下分离环指桡侧指神经支,对掌肌管出口处尺神经深支至旋前方肌支入肌长度即移植段神经长度为(104.59±20.25)mm. 结论 环指桡侧指神经支移植为带血运的神经移植,属肌支对肌支的吻合,是修复尺神经深支缺损的有效方法.
目的 為研究環指橈側指神經支移植脩複呎神經深支缺損提供解剖學基礎. 方法 對16例32側新鮮成人上肢進行觀測.在10倍手術顯微鏡下對腕部呎神經深支、正中神經鏇前方肌支和環指橈側指神經支進行顯微解剖及測量. 結果 正中神經鏇前方肌支直徑為(1.13±0.02)mm,正中神經環指橈側指神經支直徑為(1.17±0.05)mm,對掌肌管齣口處呎神經深支直徑為(1.75±0.07)mm.顯微鏡下分離環指橈側指神經支,對掌肌管齣口處呎神經深支至鏇前方肌支入肌長度即移植段神經長度為(104.59±20.25)mm. 結論 環指橈側指神經支移植為帶血運的神經移植,屬肌支對肌支的吻閤,是脩複呎神經深支缺損的有效方法.
목적 위연구배지뇨측지신경지이식수복척신경심지결손제공해부학기출. 방법 대16례32측신선성인상지진행관측.재10배수술현미경하대완부척신경심지、정중신경선전방기지화배지뇨측지신경지진행현미해부급측량. 결과 정중신경선전방기지직경위(1.13±0.02)mm,정중신경배지뇨측지신경지직경위(1.17±0.05)mm,대장기관출구처척신경심지직경위(1.75±0.07)mm.현미경하분리배지뇨측지신경지,대장기관출구처척신경심지지선전방기지입기장도즉이식단신경장도위(104.59±20.25)mm. 결론 배지뇨측지신경지이식위대혈운적신경이식,속기지대기지적문합,시수복척신경심지결손적유효방법.
Objective To provide anatomical basis of neural transplantation to repair deep branch of ulnar nerve defect with the ring finger radial digital branch. Methods Thirty-two sides of 16 cases fresh forearms were dissected and observed.Microdissect and measure the deep branch of ulnar nerve,quadrate pronator of median nerve and it's ring finger radial digital branch under 10-times operating microscope. Results The diameter of quadrate pronator of median nerve was (1.13 ± 0.02)mm,ring finger radial digital branch of median nerve was (1.17 ± 0.05)mm,mid-palmar section of deep branch of ulnar nerve was(1.75± 0.07)mm.Dissect ring finger radial digital branch of median nerve to muscular branch of quadrate pronator under operating microscope,retaining it's blood supply.The length between the deep branch of ulnar nerve and ring finger radial digital branch was( 104.59 ± 20.25)mm.Conclusion ①Solving the problem of nerve grafting without blood supply before,benefit to the survival of the grafting segment and the regeneration of the neuro fiber,and function restoring.②This kind of grafting is the bridging of muscular branch to muscular branch,abide by the principle of neurophysiology.③Neural transplantation to repair deep branch of ulnar nerve defect with the ring finger radial digital branch is an effective method.
