肘部尺神经血供及带血供尺神经前置术的解剖学研究  

Anatomical study on supply of ulnar nerve in elbow region and anterior transposition of vascularized ulnarnerve for cubital tunnel syndrome

作　　者：赵民[1] 王利民[1] 邵新中[2] 田德虎[2] 吴金英[3] 李延明[1] 曹立峰[1] 姜桂芳[1] 

机构地区：[1]中国医科大学北京顺义医院骨科,北京101300 [2]河北医科大学第三医院手外科 [3]首都医科大学燕京医学院解剖教研室

出　　处：《实用手外科杂志》2007年第3期152-154,共3页Journal of Practical Hand Surgery

摘　　要：目的观察肘部尺神经的血液供应,设计带血供尺神经前置的手术方法。方法28侧防腐成人上肢标本,观察测量肘部尺神经血供来源和血管外径及血管长度的相关数据。4侧防腐成人上肢标本模拟临床,设计带伴行血管尺神经前置术。结果肘部尺神经血供有3个来源:尺侧上副动脉、尺侧下副动脉和尺侧返动脉后支。3条动脉从起始处至肱骨内上踝的距离分别是(15.2±0.9)cm,(4.8±0.6)cm和(4.7±1.1)cm。伴随尺神经行走的距离分别是(16±1.3)cm,(5.1±0.3)cm和(5.6±0.9)cm。结论带血供尺神经前置术治疗肘管综合征是完全可行的。Objective To investigate the blood supply of the ulnar nerve in elbow region and design the procedure of anterior transposition of the vascularized ulnar nerve for cubltal tunnel syndrome. Methods The vascular of the ulnarnerve was studied and measured in 28 adult CadaVver upper limbspecimens.and the clinical surgical procedure was imitated in 4 adult cadaver upper limb specimens, Results There are three major arteries to supply the ulnar nerve at the elbow region： the superior ulnar collateral artery, the inferior ulnarcollateral artery and the posterior ulnar recurrent artery.The distances from arterial origin to the medial epicondyle were（15.2 ±0.9）cm, （4.8±0.6）cm, （4.7 ± 1.1）cm respectively.And the total length of the vessels travelling alone with the course of the ulnar nerve were （16±1.3）cm, （5.1±0.3）cm and （5.6±0.9）cm respectively.Conclusion It is out of question to perform anterior transposition of the ulnar nerve wlth accompanying arteries for cubital tunnel syndrome.

关 键 词：尺神经 动脉 解剖 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]