辅助神经的梯形分支的变化:一个解剖学研究研究
Matthew E Lin1, Celeste Kim2, Adam Howard3
1Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Scientific reports
|December 15, 2023
概括
了解辅助神经变异对于减少部解剖过程中的损伤至关重要. 梯形分支的解剖学差异可能导致无意的神经损伤,影响手术结果.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术神经病学 手术神经病学
背景情况:
- 修改后的部激进剖析旨在最大限度地减少辅助神经损伤,但仍会发生无意中伤害.
- 辅助神经的梯形分支的解剖学变异被怀疑是造成手术并发症的原因.
研究的目的:
- 为了研究辅助神经的梯形分支的解剖学变异.
- 为了告知外科决策,并减少部剖析期间的辅助神经损伤.
主要方法:
- 在15个尸体中剖析和追踪24个辅助神经.
- 记录相对于大骨肌的梯形分支的轨迹.
- 记录肌肉插入和宫根子贡献时的梯形树枝数量.
主要成果:
- 鉴定了四个不同的形分支的解剖学模式,最常见的 (58.3%) 起源于中枢至骨骨,并深入到它.
- 大多数梯形分支 (75%) 作为单个神经进入肌肉,而21%作为两个神经进入肌肉.
- 宫根子的贡献从零到三不等,并有明显的双边变化.
结论:
- 辅助神经的梯形分支的解剖学变异很普遍,可以增加在部剖析期间意外损伤的风险.
- 未被识别的神经通路,特别是那些暴露在前面三角形中的神经通路,可能会导致较高的阳性损伤率.
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