在手术中绘制腹感应皮肤神经图谱,以增强腹手术的止痛方法:一项尸体研究
Brittany Zurkan1, Timothy D Wilson1, Abhijit Biswas2
1Department of Anatomy and Cell Biology, University of Western Ontario, London, Ontario, Canada.
Regional anesthesia and pain medicine
|December 31, 2024
概括
这项研究确定了两个额外的手臂支部,这些支部激活了下,超出了脊椎间神经 (ICBN). 这些神经可以解释乳房手术后不完全缓解疼痛的原因,包括腹剖析.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术麻醉手术麻醉
- 疼痛管理 疼痛管理
背景情况:
- 乳房内置涉及胸部神经,椎,臂和肋间骨间神经 (ICBN).
- 目前的乳腺外科手术区块提供不完整的下疼痛缓解.
- 识别腹感应神经对于改善手术疼痛管理至关重要.
研究的目的:
- 为了识别和绘制特定的皮肤神经在部区域内.
- 为了研究与乳房手术和骨剖析相关的内化模式.
主要方法:
- 在人类尸体上进行了9次股解剖.
- 剖析涉及特定的切口,以可视化ICBN和手臂.
- 使用3D成像软件从剖析照片进行重建.
主要成果:
- 脊椎间神经 (ICBN) 和后子分支始终在关组织中被发现.
- 在56%的剖析中发现了中枢绳子分支.
- 详细的分支模式和这些神经进入下部的入口点被绘制为地图.
结论:
- 除了ICBN外,还有两个手臂结分支激活着下皮组织.
- 这些神经通常不是当前乳腺手术麻醉的目标.
- 了解这种内置可能会改善手术后的疼痛控制,在骨剖析后.
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