摘要
通过局部解剖112侧臀部标本(包括尸体局部标本),研究探讨臀部手术操作的相对安全区(relatively safe region,RSR),为小针刀皮下松解术治疗梨状肌综合征提供解剖学依据,并在临床验证相对安全区小针刀皮下松解术治疗梨状肌综合症的可行性.研究发现臀上神经最下支(most inferior branch,MIB)的体表投影与大转子外侧最凸点之间形成了一个扇形区域,该区域在一定空间范围内无明显重要神经血管分布,为手术操作的相对安全区,在此区域内进行小针刀皮下松解术不会损伤重要神经、血管.临床应用20例,经12~18个月随访,术后患者症状明显改善,均无神经血管损伤等严重并发症.
Based on the dissection of the hips of 112 cadavers( including the local specimen of the corpse),research was conducted to determine RSR( the relatively safe region) of the operation,to provide anatomical basis for the treatment of Piriformis Syndrome by needle knife subcutaneous release operation,and to check the feasibility in clinical validation of RSR of needle knife subcutaneous release operation in the treatment of piriformis syndrome. Results showed that the scalloped area enclosed by the projective line of inferior branch of superior gluteal nerve and the most lateral protrusive point of the greater trochanter was the relatively safe region; there were not important nerves and blood vessels in this region,so it would not damage the nerve and blood vessels while operating in this region. The 20 subject patients were closely observed for about 12 to18 months after operation. All of their situations were significantly improved. What's more,no nerve and vasculars injury and other severe complications occurred to them.
出处
《曲靖师范学院学报》
2017年第6期41-44,共4页
Journal of Qujing Normal University
关键词
小针刀皮下松解术
相对安全区
梨状肌综合征
needle knife subcutaneous release operation
relatively safe region
Piriformis Syndrome
