超声波可视化解剖变异的supraclavicular神经的超声波可视化
Hannah Bridgwater1, Lauren R Hector1, Peter Xiang2
1Human Anatomy Centre, Anatomy Building, Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, UK.
Clinical anatomy (New York, N.Y.)
|August 8, 2023
概括
大多数上关节神经 (SCN) 呈现可变的分支,与典型的解剖学不同. 了解这种SCN变异性对于在肩膀和关节骨手术期间预防神经损伤至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 超声波成像 超声波成像
- 手术神经病学 手术神经病学
背景情况:
- 上关节神经 (SCN) 起源于,通常分为中间,中间和侧面的分支.
- 关节关节手术期间的SCN损伤可能会导致术后感官变化.
- 麻醉SCN在肩膀和关节骨手术中越来越重要.
研究的目的:
- 通过使用高频超声波来研究关节神经 (SCN) 和其分支的解剖学变异性.
- 为了将观察到的SCN解剖与典型描述的解剖过程进行比较.
- 评估SCN分支变异的流行率和特征,包括交叉分支.
主要方法:
- 使用高频 (20 MHz) 超声波探头对20名健康志愿者的40个SCN进行扫描.
- 使用专门的软件,图形地绘制了每个SCN的解剖过程和分支模式.
- 记录了SCN分支相对于关节骨的位置和直径.
主要成果:
- 只有47.5%的SCN表现出典型的解剖过程.
- 在超过一半的SCN中观察到分支模式的显著变化.
- 在60%的SCN中发现了交叉分支 (CB),其中许多分支穿过关键骨侧向其中点,并且相对于主干有相当大的直径.
结论:
- 关节神经 (SCN) 经常表现出非典型的分支模式和个体内变异性.
- 在手术前对SCN进行超声绘制可能有助于预防神经损伤和相关麻木.
- 对于外科医生和麻醉科医生来说,对SCN变异的详细解剖学知识至关重要.
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