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用解剖学标志确定手道中枢神经的安全区域
Khizer Hussain Afroze M1, Sangeeta M1, Kumaraswamy Revanakimath1
1Department of Anatomy, MVJ Medical College and Research Hospital, Hoskote, Bangalore, Karnataka, India.
Bioinformation
|December 30, 2025
概括
识别安全的解剖学标志,如辐射型形过程 (RSP) 和手掌长 (PLT),对于在手掌道释放手术期间预防中枢神经 (MN) 损伤至关重要.
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
- 神经外科 神经外科
背景情况:
- 带道释放是一种常见的外科手术程序.
- 阴性中枢神经 (MN) 损伤是已知的并发症.
- 在手腕道内确定MN的安全解剖区域是必不可少的.
研究的目的:
- 为了确定手掌道内的中枢神经 (MN) 的安全区域.
- 评估解剖学地标的可靠性,以确定MN的位置.
- 为了最大限度地降低手掌道释放期间神经损伤的风险.
主要方法:
- 40个固定在甲中的上肢的剖析.
- 测量距离从辐射型形过程 (RSP),手掌长 (PLT) 和腰骨下端 (LBU) 的中间最点到中枢神经 (MN) 的距离.
主要成果:
- 中间神经 (MN) 始终位于手掌长 (PLT) 的中间位置.
- 平均RSP-MN距离为28.48毫米,侧面有显著差异 (p = 0.001).
- 在RSP-PLT和RSP-MN距离之间的正相关性 (r = 0.410,p = 0.016) 证实了PLT作为一个有用的地标.
结论:
- 手掌长 (PLT) 在手掌道释放过程中是中枢神经 (MN) 的可靠地标.
- 当PLT缺席时,辐射型体过程 (RSP) 和下骨 (LBU) 作为有价值的替代品.
- 这些解剖学标志增强了手术的安全性,并降低了中枢神经受伤的风险.
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