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对于安全的手腕道手术需要考虑的一个解剖学变化:横肌肉
Saygi Uygur1, Tolga Akbiyik, Ayse Esin Polat
1Mersin University Faculty of Medicine, Department of Neurosurgery, Mersin, Türkiye.
Turkish neurosurgery
|March 25, 2025
概括
在4.8%的手足道释放手术中发现了辅助横肌 (TCM),主要是在左手. 虽然并没有明确与手腕道综合征 (CTS) 相关,但这种解剖变异需要外科意识.
科学领域:
- 人体解剖学 解剖学 解剖学
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
背景情况:
- 带道综合征 (CTS) 是一种常见的疾病,通常通过手术治疗.
- 围绕手腕道的解剖学变异可能会使手术过程复杂化.
- 横肌 (TCM) 是一个不太常讨论的这个区域的解剖结构.
研究的目的:
- 为了确定辅助横肌 (TCM) 发生的发生率.
- 评估TCM在引起手掌道综合征 (CTS) 中的潜在作用.
- 强调在手腕道释放手术期间识别TCM变异的重要性.
主要方法:
- 在2007年1月至2021年3月期间进行的62次手腕道释放手术的回顾性审查.
- 评估横肌 (TCM) 发生的频率和特征.
- 患者人口统计学和手侧面的记录,以确定变异.
主要成果:
- 观察到辅助TCM的发病率为4.8% (62例中的3例).
- 所有识别的辅助TCM都位于横带 (TCL) 的表面.
- 这些变异仅在左手中发现,受影响患者中女性与男性的比例为2:1.
结论:
- 目前的证据不足以确定TCM和CTS之间的因果关系.
- 建议对尸体进行剖析,以进一步调查这些辅助肌肉的起源和性质.
- 外科医生应该保持对潜在的TCM变异的认识,特别是在最少侵入性手术期间,以防止外科失调.
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