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闭孔神经后支卡压的关键部位:解剖学考量

Critical sites of entrapment of the posterior division of the obturator nerve: anatomical considerations.

作者信息

Kumka Myroslava

出版信息

J Can Chiropr Assoc. 2010 Mar;54(1):33-42.

PMID:20195424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2829684/
Abstract

IN THE CURRENT ANATOMIC STUDY, SPECIAL ATTENTION WAS GIVEN TO THE RELATIONSHIP OF THE POSTERIOR DIVISION OF THE OBTURATOR NERVE TO SURROUNDING STRUCTURES: the obturator canal and the fibromuscular and vascular structures of the medial thigh region. These intimate relationships may, in certain conditions, constitute critical sites of entrapment of the posterior division of the obturator nerve and may present a diagnostic challenge to the manual practitioner. Knowledge of the potential sites of entrapment of the posterior division of the obturator nerve can aid in differential diagnosis of peripheral neuropathies, provide an anatomic basis for obturator nerve pathology, and guide effective patient management, including the application of modern diagnostic techniques and safe surgical procedures.

摘要

在当前的解剖学研究中,特别关注了闭孔神经后支与周围结构的关系:闭孔管以及大腿内侧区域的纤维肌肉和血管结构。在某些情况下,这些密切关系可能构成闭孔神经后支的关键卡压部位,并且可能给手法治疗师带来诊断挑战。了解闭孔神经后支潜在的卡压部位有助于周围神经病变的鉴别诊断,为闭孔神经病理学提供解剖学依据,并指导有效的患者管理,包括现代诊断技术的应用和安全的外科手术。

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本文引用的文献

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Obturator nerve block: a technique based on anatomical findings and MRI analysis.闭孔神经阻滞:一种基于解剖学发现和 MRI 分析的技术。
Pain Med. 2008 Nov;9(8):1012-15. doi: 10.1111/j.1526-4637.2007.00364.x.
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Anatomic variations of the obturator nerve in the inguinal region: implications in conventional and ultrasound regional anesthesia techniques.腹股沟区闭孔神经的解剖变异:对传统及超声引导区域麻醉技术的影响
Reg Anesth Pain Med. 2009 Jan-Feb;34(1):33-9. doi: 10.1097/AAP.0b013e3181933b51.
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Ultrasound-guided obturator nerve block: a sonoanatomic study of a new methodologic approach.超声引导下闭孔神经阻滞:一种新方法的超声解剖学研究
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[Ultrasound-guided obturator nerve block].[超声引导下闭孔神经阻滞]
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Surg Radiol Anat. 2008 Aug;30(6):495-501. doi: 10.1007/s00276-008-0358-x. Epub 2008 May 14.
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Identification of the obturator nerve divisions and subdivisions in the inguinal region: a study with ultrasound.腹股沟区闭孔神经分支和亚分支的超声识别研究
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Sonographic imaging of the obturator nerve for regional block.用于区域阻滞的闭孔神经超声成像
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