大,小和第三尾神经之间的三角形区域及其可能的临床意义
Latif Sağlam1, Özcan Gayretli2, Osman Coşkun2
1Department of Anatomy, Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi, Fatih, Istanbul, 34093, Turkey. latif.saglam@istanbul.edu.tr.
Surgical and radiologic anatomy : SRA
|January 25, 2024
概括
针对尾神经阻塞的三角区域 (TA) 可能允许在尾神经疼痛 (ON) 中阻塞多个神经. 这种方法可以减少额外阻塞的副作用,并指导特定性别的麻醉剂量.
科学领域:
- 人体解剖学 解剖学 解剖学
- 疼痛管理 疼痛管理
- 神经学 神经学
背景情况:
- 尾神经痛 (ON) 涉及头皮后部的疼痛,通常与大尾神经 (GON),小尾神经 (LON) 和第三尾神经 (TON) 相关.
- 目前的治疗可能涉及神经阻塞,但针对多个神经可能是复杂的.
研究的目的:
- 在尾神经疼痛的背景下,研究由GON,LON和TON形成的三角区域 (TA) 的解剖学意义.
- 为了确定TA是否可以成为单个神经块的目标,以解决多个尾神经.
主要方法:
- 剖析24具尸体 (14名男性,10名女性),以确定GON,TON和LON的表面点.
- 使用Image J软件测量TA及其重心 (CGT).
- 基于性别和侧面的TA和CGT值的统计分析.
主要成果:
- 平均TA值在性别之间有显著差异 (男性:952.82mm2,女性:667.55mm2),但在两侧之间没有显著差异.
- 平均CGT始终位于大约5厘米以下和3-3.5厘米侧面的外部尾突起.
- 在TA中基于性别的显著差异表明了性别特定块体积的潜力.
结论:
- 在单个尾神经阻塞中准TA可能有效地阻断ON患者的多个尾神经.
- 这种方法有可能减少与多个神经阻塞相关的副作用.
- 在TA中观察到的性别差异表明在尾神经阻塞中需要量身定制的麻醉剂量.
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