正中神经与尺神经之间交通支的临床应用解剖研究

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1、中图分类号：R32-．3南中匿学院2008届攻读硕士学位研究生学位论文正中神经与尺神经之间交通支的临床应用解剖研究学院申请人姓名学科、专业研究方向导师姓名导师组成员-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正中神经与尺神经之间交通支的临床应用解剖研究ibution，mistakesindiagnosiSofperipheralnervelesionsintheforearmandhandcanbeavoided．Anditisimportantformakingacorrectjudgementoftheprognosistoperipheralnervelesions．Keywords：mediannerve：ulnar

8、nerve：anastomosis：peripheralnervelesions：anatomy6索0索引MGA：即Martin—Gruberanastomosis的缩写，指在自仃臂部位，从正中神经到尺神经的交通支；RMGA：即reversedMartin～Gruberanastomosis的缩写，指在前臂部位，从尺神经到『F中神经的交通支；RCA：即Riche—CannieuanastomosiS的缩写，指在手掌部位，正中神经与尺神经之间