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1、中圖分類號:R32-.3南中匿學(xué)院2008屆攻讀碩士學(xué)位研究生學(xué)位論文正中神經(jīng)與尺神經(jīng)之間交通支的臨床應(yīng)用解剖研究學(xué)院申請人姓名學(xué)科、專業(yè)研究方向?qū)熜彰麑?dǎo)師組成員-00八年五月一一~一一一一一一英文摘要AbstractChenHui(TraumatologyandOrthopedicsofTCM)DirectedbyprofessorZhangYunObjectiVO:BystudyingtheoccurrenceanddistributionofanastomosiSbetweenmedianner
2、veandulnarnerveintheforearmandhand,wewillprovidesomeanatomicaldatatoimprovetheclinicaldiagnosisofperipheralnervelesionsintheforearmandhand,andtoenrichthecontentofclinicalanatomy.Methods:Wedissectedandobserved53upperlimbsofcadavers,andmeasuredtheanastomos
3、iSwithverniercaliper,steelruleandothermeasuringimplements.Themeasurementsinclude:1.Thelocation,distribution.numbersandsidesofMartin—Gruberanastomosis(MGA),reversedMartin—GruberanastomosiS(RMGA)andRiche—Cannieuanastomosis(RCA):2.ThelengthanddiameterofMGA,
4、RMGAandRCA;3.ThedistancebetweenthelinebetweenmedialandlateralepicondyliandthebeginningorendofMGAandRMGA;4.ThedistancebetweenthedistalwristcreaseandthebeginningorendofRCA.Results:1.TheincidenceofMGAwas21.15%,andtheincidenceofRCAwas71.43%.WedidnotfindRMGA:
5、2.ThelengthofMGAwas56.93±28.14ram,anditsdiameterwas1.43±0.80mm;thelengthofRCAwas28.26±17.80ram,anditsdiameterwas0.61±0.34ram;3.Thedistancefromthe1inebetweenmedialandlateralepicondylitothebeginningorendofMGAwas41.42±13.84ram,andtotheendofMGAwas85.44±41.45
6、ram;4.Thedistancebetweenthedistalwristcreaseandtheradialbegin—ningofRCAwas39.82+7.81mm,andthedistancebetweenthedistalwristcreaseandtheulnarbeginningofRCAwas28.39±1I.07ram.OoncIUSj011:TheanastomisiSbetweenmediannerveandulnarnerveisclin—icallyimportantford
7、octors.Byrecognizingitsexistenceanddistr一5正中神經(jīng)與尺神經(jīng)之間交通支的臨床應(yīng)用解剖研究ibution,mistakesindiagnosiSofperipheralnervelesionsintheforearmandhandcanbeavoided.Anditisimportantformakingacorrectjudgementoftheprognosistoperipheralnervelesions.Keywords:mediannerve:ulnar
8、nerve:anastomosis:peripheralnervelesions:anatomy6索0索引MGA:即Martin—Gruberanastomosis的縮寫,指在自仃臂部位,從正中神經(jīng)到尺神經(jīng)的交通支;RMGA:即reversedMartin~Gruberanastomosis的縮寫,指在前臂部位,從尺神經(jīng)到『F中神經(jīng)的交通支;RCA:即Riche—CannieuanastomosiS的縮寫,指在手掌部位,正中神經(jīng)與尺神經(jīng)之間