腹股沟区神经卡压征慢性自发性疼痛的解剖学背景(英文)  

Anatomic background of chronic spontaneous pain of neural entrapment syndrome in the inguinal region

作　　者：张本斯[1] 李光忠[1] 洪永华[1] 洪虹[1] 邹汝荣[1] 何红云[1] 

机构地区：[1]大理学院基础医学院解剖学教研室,云南省大理市671000

出　　处：《中国临床康复》2005年第17期251-253,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:腹股沟区神经卡压征的主要临床表现是阴囊区和大腿近端前内侧慢性自发性疼痛,慢性自发性疼痛的解剖背景,尤其是疼痛区皮肤神经管理的报道较少。目的:了解腹股沟区神经卡压征的临床解剖特征,为腹股沟区神经卡压征的防治提供解剖基础。设计:以尸体为研究对象,观察性研究。单位:一所大学的解剖教研室。材料:1998-01/2000-12大理学院解剖教研室常规防腐固定的25具(50侧)成年男性尸体。方法:对50侧(25具)成年男性尸体标本腹股沟区皮神经行解剖、观测和绘图。主要观察指标:①分布到腹股沟、阴囊、大腿近端前内侧的皮神经。②皮神经与精索的关系。③生殖股神经生殖支与腹股沟管的关系。结果:分布于腹股沟区的有髂腹下神经皮支6%(3/50),髂腹股沟神经皮支90%(45/50),生殖股神经生殖支的皮支42%(21/50),髂腹股沟神经与生殖股神经生殖支形成的吻合支12%(6/50),生殖股神经股支的皮支8%(4/50)。髂腹股沟神经与生殖股神经生殖支于腹横肌与腹内斜肌间、腹股沟管内、穿出腹股沟管后三个部位形成吻合支。生殖股神经生殖支的皮支经3种途径进入腹股沟管,69%从深环进入,12%从大腿侧穿腹股沟韧带进入,19%穿腹内斜肌进入,也通过3种形式出腹股沟管,69%经皮下环浅出。BACKGROUND:The main clinical manifestation of the nerve entrapment syndrome in the inguinal region is chronic and spontaneous pain of the scrotal region and proximal ventro medial thigh region. Few reports have discussed the anatomic background of this kind of pain with special reference to skin innervation.OBJECTIVE:To study the features of clinical anatomy in entrapment of nerve for providing anatomic basis for preventing and treating entrapment of nerves in the inguinal region. DESIGN:Observational study based on cadavers.SETTING:Anatomical department in a university.MATERIALS:Fifty halves of twenty five adult male cadavers that were routinely embalmed and fixed by the Anatomical Department of Dali University from January 1998 to December 2000.METHODS:Cutaneous nerves in the inguinal region in 50 halves of 25 adult male cadavers were observed,measured and drawn.MAIN OUTCOME MEASURES:① Cutaneous nerves distributed to the inguinal region,the scrotal region and proximal ventro medial thigh region.② Relationship between the cutaneous nerves and the spermatic cord.③ Relationship of the genital branch of the genitofemoral nerve to the inguinal canal.RESULTS:In addition to cutaneous branches originating from the iliohypogastric nerve in 3 of 50 cases(6% ),cutaneous branches from the ilioinguinal nerve were found in the inguinal region in 45 of 50 halves(90% ),cutaneous nerves from the genital branch of genitofemoral nerve were in 21 of 50 halves(42% ),the unions of the ilioinguinal nerve and genital branch of the genitofemoral nerve were in 6 of 50 sides(12% ),and branches from the femoral branch of the genitofemoral nerve were in 4 of 50 sides(8% ). The genital branch of genitofemoral nerve and the ilioinguinal nerve united at three different sites:① between the transversus abdominis and obliquus internus abdominis(1 case);② in the inguinal canal(3 cases);③ after passing through the canal(1 case).The cutaneous branches of the genital branch were found to follow three different paths to enter the inguinal

关 键 词：神经压迫综合征 腹下丛/解剖学和组织学 股神经/解剖学和组织学 

分 类 号：R747.2[医药卫生—神经病学与精神病学]