高选择性膝关节去神经术的应用解剖学研究

Applied Anatomic Study on Nerve Ramification Neurectomy of Knee Joint

目的:为膝关节去神经术治疗膝关节疼痛性疾患提供解剖学基础。方法:在30侧防腐成人下肢标本上,对支配膝关节的神经关节支进行解剖观测。结果:股内侧肌支、股中间肌支、股外侧肌支、膝关节肌支关节支支配膝关节前上区;隐神经及其分支支配膝关节前内、前下区;腓总神经关节支支配前外侧区;胫神经或坐骨神经关节支支配膝关节腘区。其中股内侧肌支、隐神经、腓总神经、胫神经或坐骨神经关节支较粗大、解剖较恒定、表浅可行选择性切断。结论:选择性切断膝关节神经支治疗膝关节疼痛性疾患具有可行性。

Objective： To explore the anatomic possibility of neurotomy to treat the arthronalgia of knee joint. Methods： The articular nerve branches were dissected and measured on 30 sides of adult cadaver＇s lower limbs. Results： The nerve branches from the medial vastus muscle, musculus intermedial vastus muscle, lateral vastus muscle and the muscles of knee joint were distributed to the above-front part of knee joint. The articular branches of saphenous nerve, common peroneal nerve and tibial nerve or ischiadic nerve were distrbuted to the inner-front and under-front, the lateral-front and lateroposterior part of knee joint respectively. The articular branches of the medial vastus muscle, s were wider and could ap b could be applied to the henous nerve, common peroneal nerve and tibial nerve or ischiadic nerve e located easily. Conclusion. It was possible that the selective neurectomy treatment of arthronalgia of knee joint.