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膈神经临床应用解剖学研究 被引量:5

Anatomical study of phrenic nerve for nerve transfer application
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摘要 目的:提供有关国人膈神经的解剖学资料,为膈神经移位术提供理论依据。方法:分离32具已固定尸体(男22具,女10具)的膈神经并测量其长度及宽度。结果:①膈神经总长度:男性左侧(28.16±1.92)cm,右侧(23.80±1.57)cm;女性左侧(26.08±1.46)cm,右侧(22.30±1.56)cm;②自胸骨旁第二肋上缘至入肌点长度:男性左侧(18.73±1.59)cm,右侧(14.44±1.48)cm;女性左侧(16.66±1.41)cm,右侧(12.70±1.18)cm;③膈神经宽度:男性左上(1.89±0.32)mm,右上(1.82±0.33)mm,左下(2.50±0.46)mm,右下(2.31±0.39)mm。女性左上(1.85±0.29)mm,右上(1.78±0.27)mm,左下(2.36±0.40)mm,右下(2.17±0.18)mm;④膈神经自第二肋上缘至入肌点长度(Y)与身高(X)的回归方程:男性左侧:Y=0.106X+0.881,右侧:Y=0.083X+0.253;女性左侧:Y=0.101X+0.833,右侧:Y=0.078X+0.314。结论:左右膈神经长度及上下端宽度均有统计学差异。 Objective:To supply the anatomical data of Chinese phrenic nerve in detail and provide theoretic basis of phrenic nerves for phrenic nerve tansfer.Methods:The length and width of phrenic nerve were measured on32wet cadavers,male22and female10.Results:①Total length of phrenic nerve:in male on the left side(28.16±1.92)cm,on the right side(23.80±1.57)cm.In female,on the left side(26.08±1.46)cm,on the right side(22.30±1.56)cm.②The length from superior margin of the second parasternal rib to the entrance point of diaphragm:in male,on the left side(18.73±1.59)cm,on the right side(14.44±1.48)cm.In female,on the left side(16.66±1.41)cm,on the right side(12.70±1.18)cm.③Width:in male,left superior point (1.89±0.32)mm,right superior point (1.82±0.33)mm,left inferior point (2.50±0.46)mm,right inferior point (2.31±0.39)mm;in female,left superior point (1.85±0.29)mm,right superior point (1.78±0.27)mm,left inferior point (2.36±0.40)mm,right inferior point (2.17±0.18)mm.④The regressive equation between phrenic nerve length (Y)from superior margin of second rib to entrance point of diaphragm and body height (X).In male:left side:Y=0.106X+0.881,right side:Y=0.083X+0.253.In female:left side:Y=0.101X+0.833,right side:Y=0.078X+0.314.Conclusion:There are significant differences in the length and width between right and left phrenic nerves.
出处 《山东大学学报(医学版)》 CAS 2003年第2期139-140,144,共3页 Journal of Shandong University:Health Sciences
关键词 肠神经 解剖学 膈神经移位 Phrenic nerve Anatomy Phrenic nerve transfer
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