皮肤神经分布在手腕的第一个延伸部周围:对超声指导注射的临床影响
Hyun Il Lee1, Hye-In Lee2, Soonchul Lee3
1Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University, 170, Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, 10380, Republic of Korea.
JPRAS open
|February 21, 2024
概括
超声波导向注射到第一个延伸器区间对表面辐射神经 (SRN) 和侧面前臂皮肤神经 (LACN) 分支存在风险. 飞行方法可能更安全,因为注射部位附近的厚度较小的神经较少.
科学领域:
- 人体解剖学 解剖学 解剖学
- 整形外科 整形外科 整形外科
- 超声波指导的程序 超声波指导的程序
背景情况:
- 局部注射到第一个延伸器隔间是常见的条件,如德·奎尔温的紧突炎.
- 了解皮肤神经的精确解剖过程对于安全注射技术至关重要.
- 超声波指导提高了准确性,但需要详细了解周围的神经血管系统.
研究的目的:
- 评估皮肤神经与第一个延伸器隔间相对的轨迹.
- 为了确定更安全的方法 (背部与飞行) 超声波引导局部注射到这个区间.
主要方法:
- 52个手腕的尸体解剖 (28个尸体).
- 表面辐射神经 (SRN) 和侧面前臂肌神经 (LACN) 分支的识别和计数.
- 从参考线和神经直径测量神经距离的测量.
主要成果:
- 每个手腕平均发现了3.3个SRN和0.9个LACN分支.
- 背部和飞翼两侧都有丰富的皮肤神经,具有显著的个体间差异.
- 较厚的皮肤神经在背部侧面比飞行侧面更丰富.
结论:
- 虽然皮肤神经密度在背部和侧面相似,但在背部更为普遍的是较厚的神经.
- 飞行方法似乎在注射到第一个延伸器区间时,对皮肤神经的风险降低了.
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