Suppr超能文献

股外侧皮神经的变异性:规划安全手术入路的解剖学基础。

Variability of the lateral femoral cutaneous nerve: An anatomic basis for planning safe surgical approaches.

机构信息

Department of Medical Education, University of Michigan Medical School, Ann Arbor, 48109-5608, USA.

出版信息

Clin Anat. 2010 Apr;23(3):304-11. doi: 10.1002/ca.20943.

Abstract

Current surgical assumptions identify the lateral femoral cutaneous nerve (LFCN) running just under the inguinal ligament two fingerbreadths medial to the anterior superior iliac spine (ASIS). On the basis of the increasing incidence of Meralgia Paresthetica associated with various surgical procedures, it is clear that surgeons are relying on an inadequate description of the nerve's course. This study provides a better understanding of the variability of the LFCN with regards to its relationship to the ASIS and the depth at which it passes deep to the inguinal ligament. A total of 35 bodies were examined yielding 65 sets of data. Dissections were performed on 26 formalin fixed cadavers and 9 fresh morgue specimens. Measurements and calculations were made with regard to the distance from the LFCN to the ASIS along the inguinal ligament, the depth of the LFCN as it crossed the inguinal ligament, and the length of the inguinal ligament. The LFCN was observed to cross the inguinal ligament 1.4 +/- 0.4 cm medial to the ASIS with a standard deviation of 1.5 cm. The LFCN traversed the inguinal ligament 1.0 +/- 0.1 cm deep to the ligament with a standard deviation of 0.6 cm. The LFCN runs approximately one fingerbreadth medial to the ASIS. The nerve may be found far more medial or lateral than expected with several distinct branching patterns. In addition, the LFCN crosses deeper to the inguinal ligament than previously described in the literature, with a high variability of depth between specimens.

摘要

当前的外科假设认为,外侧股皮神经(LFCN)在腹股沟韧带下方两指宽,前髂嵴(ASIS)内侧运行。基于与各种外科手术相关的梅拉加氏神经病(Meralgia Paresthetica)发病率的增加,很明显,外科医生依赖于对神经行程的描述不足。本研究更好地了解了 LFCN 与 ASIS 的关系及其在腹股沟韧带下的深度的可变性。共检查了 35 具尸体,产生了 65 组数据。在 26 具福尔马林固定的尸体和 9 具新鲜停尸房标本上进行了解剖。就 LFCN 到 ASIS 沿着腹股沟韧带的距离、LFCN 穿过腹股沟韧带的深度以及腹股沟韧带的长度进行了测量和计算。LFCN 观察到在 ASIS 内侧 1.4 +/- 0.4 cm 处穿过腹股沟韧带,标准差为 1.5 cm。LFCN 在腹股沟韧带下方 1.0 +/- 0.1 cm 处穿过腹股沟韧带,标准差为 0.6 cm。LFCN 大约在 ASIS 内侧一指尖宽处运行。神经可能比预期的更内侧或更外侧,具有几种明显的分支模式。此外,LFCN 穿过腹股沟韧带的深度比文献中以前描述的更深,标本之间的深度变化很大。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验