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在活体解剖学变化在儿童的侧侧腿肌神经
Lise Langeland Larsen1,2, Line Kjeldgaard Pedersen1, Ole Rahbek3
1Department of Children's Orthopaedics, Aarhus University Hospital (AUH), 8200 Aarhus, Denmark.
Children (Basel, Switzerland)
|May 1, 2025
概括
在接受部手术的儿童中,侧肌神经 (LFCN) 经常会早期分支. 外科医生必须仔细剖析LFCN周围的部位,以防止由于其多样化的解剖结构而导致的神经损伤.
科学领域:
- 儿科整形外科 儿科整形外科
- 人体解剖学 解剖学 解剖学
- 手术风险缓解手术风险的缓解
背景情况:
- 侧腿肌神经 (LFCN) 解剖学在儿科群体中定义不佳.
- 在儿童前部部手术方法对LFCN构成风险.
- 关于儿童LFCN分支模式的数据有限.
研究的目的:
- 用照片记录儿童LFCN最初6厘米的路径.
- 分析LFCN分支模式和解剖学变异.
- 为了告知外科手术方法,并降低阳性损伤风险.
主要方法:
- 在31名接受骨盆骨切割的儿科患者中对LFCN进行前性摄影分析.
- 在皮下层中神经的识别和隔离.
- 测量分支模式,距离ASIS的距离,厚度和外观.
主要成果:
- 91.3%的神经经通过中间到前部上部椎 (ASIS).
- 74%的LFCN表现出分支模式的分裂;9%的LFCN有>4个分支.
- 从骨盆出口到ASIS的平均距离为17毫米;平均神经厚度为2.7毫米.
结论:
- 儿科LFCN解剖学与成年人描述有很大的不同,经常出现早期分支.
- 多孔的高发病率需要在LFCN周围进行细致的手术剖析.
- 意识到LFCN的解剖变异对于预防儿科部手术期间的阳性神经损伤至关重要.
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