中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (1): 22-24.

• 应用解剖 • 上一篇    下一篇

前臂后群伸肌的神经分布及意义

陈士文1, 周晓2, 王文艳3, 王震寰1, 刘宏升1,  廖亚平1, 刘冬播1   

  1. 1. 蚌埠医学院解剖学教研室,组织移植安徽省重点实验室,  安徽   蚌埠    233030;    2. 安徽医科大学
    第二附属医院心胸外科,  合肥   230601;    3.安徽医科大学第二附属医院妇产科,  合肥   230601
  • 收稿日期:2012-09-25 发布日期:2013-01-29
  • 通讯作者: 王文艳,博士,副主任医师,副教授,硕士研究生导师,E-mail:wenyanautumn@sohu.com E-mail:chenshiwen1010@163. com
  • 作者简介:陈士文 (1970-),男,实验师,主要从事临床应用解剖学研究
  • 基金资助:

    国家自然基金资助项目(81100412);安徽省高等学校省级优秀青年人才基金项目(2011SQRL088)

Distribution and significance of muscular branches of radial nerve in posterior region of forearm

CHEN Shi-wen1, ZHOU Xiao2,WANG Wen-yan3,WANG Zhen-huan1, LIU Hong-sheng1 , LIAO Ya-ping1,  LIU Dong-bo1   

  1. 1. Department of Anatomy,Bengbu Medical College, Bengbu Anhui 233030; 2. Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Auhui Medical University, Hefei Anhui 230601; 3. Department of Gynecologic Oncology, The Second Affiliated Hospital of Anhui Medical University, Hefei Anhui, 230601, China
  • Received:2012-09-25 Published:2013-01-29

摘要:

目的 探讨前臂后群肌内的桡神经走行及分布,为临床自体骨骼肌移植提供解剖学基础。  方法 在5 具新鲜成人尸体标本上,完整取下桡侧腕长伸肌、指伸肌、拇长展肌和拇长伸肌,观测肌外神经来源,并采用改良Sihler’s 肌内神经染色法观察肌内神经的分支、分布。  结果 采用Sihler’s 染色后的肌肉标本,呈透明或半透明状态,肌内神经分支被染成紫黑色,其在肌肉内的分布及走行清晰可见。  结论 根据染色结果可将桡侧腕长伸肌、指伸肌、拇长展肌和拇长伸肌分为不同的肌亚部,为临床肌移植设计有指导意义。

关键词: 前臂后群肌肉, Sihler&rsquo, s 染色法, 肌内神经, 肌亚部

Abstract:

Objective To investigate the innervation of the radial nerve in the posterior region of the forearm muscles and provide the anatomical basis for autologous skeletal muscle graft. Methods Ten forearms were dissected from five fresh adult cadavers to observe the extramuscular distribution of the nerve and the intramuscular distribution of the nerve using the standard Sihler's nerve staining method. Results The intramuscular nerve branches were stained purple-black and could be visualized clearly. The muscles were classified into different categories  according to common shapes and intramuscular neural distribution. Conclusions According to the intramuscular neural distribution, some of the forearm muscles can be split into different compartments and serve as independent function units for segmental muscle transplantation. the outcomes of our anatomical investigation is of crucial guiding significance for clinical muscle transplants.

Key words: Posterior region of forearm, Sihler's staining, Intramuscular nerve distribution, Neuromuscular compartment

中图分类号: