儿童肘部尺神经前置术的应用解剖

朱亚中, 周 嵘, 吴水培, 董德胜, 凌树才, 张发惠

中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (6) : 637.

中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (6) : 637.
应用解剖

儿童肘部尺神经前置术的应用解剖

  • 朱亚中1, 周 嵘1, 吴水培1, 董德胜1, 凌树才2, 张发惠3
作者信息 +

Applied anatomy of the anterior transposition of ulnar nerve in children elbow

  • ZHU Ya-zhong, ZHOU Rong, WU Shui-pei,et al.
Author information +
文章历史 +

摘要

目的 为临床儿童尺神经前置术提供解剖学基础。 方法 10具(共20肘)福尔马林固定的6~8岁儿童尸体上肢标本,解剖尺神经沟、尺神经行径伴行血管以及尺神经前置后解剖关系。 结果 尺神经主要接受尺侧上副动脉血供,前臂尺神经的血供则主要由尺动脉提供,尺侧上副动脉、尺侧下副动脉及尺侧返动脉后支血管的大部分行程与尺神经紧贴伴行,在尺神经前置越过肱骨内上髁时,不会造成伴行血管过度牵拉而对尺神经血供造成影响。尺神经前置后滑动性好,有良好的组织床,同时又能解除屈肘对尺神经牵拉。 结论 研究结果显示:尺神经前置术不会影响神经血供,具有可行性,前置时需切断上臂内侧肌间隔,皮下前置滑动性好。

Abstract

Objective  To provide anatomical basis for the treatment of humeral supracondylar fracture of children with the anterior transposition of ulnar nerve. Methods 20 elbow specimens from 10 children cadaveric upper limbs (aged from 6 to 8) were used in this study. Anatomic features of ulnar nerve and its accompanying vessels, and ulnar groove were explored, while, anatomic position of the nerve after anterior transposition were analyzed. Results Ulnar nerve was supplied mainly by superior ulnar collteral artery, however, this nerve was nourished mainly by ulnar artery when it passed through the foream. Ulnar nerve was always accompanied by superior and inferior ulnar collteral arteries, and the posterior branch of ulnar recurrent artery during its course, which would not be interfered during the approach of anterior transposition of ulnar nerve. Transferred ulnar nerve located on the soft tissue bed, easy to be slided, and escaped from the drag injury caused by flexion movement of elbow joint. Conclusions Anterior transpostion of the ulnar nerve is favorable for blood supply of the nerve, and the slide movement.

关键词

儿童 / 肘部 / 尺神经 / 前置 / 应用解剖

Key words

Children / Elbow joint / Ulnar nerve / Anterior transposition / Applied anatomy

引用本文

导出引用
朱亚中, 周 嵘, 吴水培, 董德胜, 凌树才, 张发惠. 儿童肘部尺神经前置术的应用解剖[J]. 中国临床解剖学杂志. 2010, 28(6): 637
SHU E-Zhong, ZHOU  Rong, TUN Shui-Pei, DONG De-Qing, LING Shu-Cai, ZHANG Fa-Hui. Applied anatomy of the anterior transposition of ulnar nerve in children elbow[J]. Chinese Journal of Clinical Anatomy. 2010, 28(6): 637
中图分类号: R322.85   

基金

军区医学科学技术研究“十一五”计划课题(06MA11)


Accesses

Citation

Detail

段落导航
相关文章

/