| Objective: Superior glottal nerve composed by the L4, L5, S1 nerves, issued by thesacral plexus with superior glottal vessels, the basin by the piriformis on the hole, the line between the hip and the small muscles. Superior glutei nerve entrapment syndrome is a new understanding of the disease in recent years is caused by one of the common causes of low back pain. There is little dossier, are collectively referred to as the gluteal muscle fasciitis past, when mistaken for cutaneous neuritis, piriformis syndrome. Peripheral nerve entrapment syndrome according to the definition of superior gluteal nerve entrapment syndrome could be interpreted as the distribution of the superior gluteal nerve in the trip, due to various factors have led to nerve damage in the bone through the fibrous tunnel, muscle, fascia, muscle Legs and other structures inflammation, hyperplasia, hypertrophy, adhesion, so that the nerve is squeezed through here a long time of oppression produce local nerve dysfunction caused by ischemia, hypoxia induced a group of low back pain syndrome. Therefore, this starting point on the superior gluteal nerve, stroke, neural stem and branches to study the relationship between.Medthods : In this study, 20% of the concentration of formaldehyde by perfusion of the conventional anti-corrosion solution, the appearance of the fixed treatment showed no physical deformity of the body of 50 Chinese adults, male 40, female 10 to measure, measure the superior gluteal nerve length, width, thickness and branching and so on.results:1. Superior gluteal nerve spending pots of 1 to 3, A type which accounted for 38%, 52% two types, three types accounted for 10%2. The length of the superior gluteal nerve: One type is 1.39±0.86 cm, two types of the branch of 1.42±0.71 cm, under the branch of 1.78±0.83 cm, the upper branch of three-type 1.31±0.73 cm, branched to 1.52±0.61 cm, Under the branch of 1.62±0.72 cm; The width of the superior gluteal nerve, a model is 0.38±0.08 cm, two types of the branch 0.18±0.19 cm, under the branch of 0.36±0.03 cm, under the branch Compared with upper branch the p < 0.05; upper the upper branch of the three types 0.14±0.08 Cm, branched to 0.14±0.09 cm, under the branch of 0.31±0.07 cm, under the branch Compared with upper branch the p < 0.05; The thickness of the superior gluteal nerve, a type is 0.003±0.31 cm, two on the type of branch 0.001±0.31 cm, the next branch 0.002±0.32 cm, the upper branch of the three types 0.001±0.22 cm, branched to 0.001±0.32 cm, Under the branch of 0.002+0.32 cm.3. Male superior gluteal nerve in the gluteal muscle branch of the left, the left lateral, right inside, right outside the average count was 2.58±0.21, 5.49±0.11, 2.23±0.21, 6.65±0.11 support; a small muscle in the left hip, the left lateral, right inside, right outside the average Count for the 2.15±0.18,2.36±0.15,2.02±0.01,2.62±0.13 support. Female superior gluteal nerve in the gluteal muscle branch of the left, the left lateral, right inside, right outside the average count was 2.42±0.12, 6.02±0.01, 2.35±0.25, 6.78±0.21 support; a small muscle in the left hip, the left, the right side, right outside the average Count for the 2.3U0.12, 2.10±0.16, 2.23±0.04, 2.64±0.02. from the outside of the same sex in the gluteal muscles and hip muscles of the small number of branches and the inside of the many and significant difference p <0.054. Measurement of peripheral branches of the superior gluteal nerve to the upper edge of the greater trochanter mid-point of the distance: the average male medial gluteal muscle 5.78±1.46 cm, the lateral average 6.01±1.26 cm. The average small medial hip 5.49±1.22 cm, the lateral average 5.48±1.18 cm. The average female medial gluteal muscle 5.29±1.54 cm, the lateral average 5.66±1.36 cm. The average small medial hip 4.33±0.87 cm, the lateral average 4.42±1.09 cm. the same sex to the gluteal muscle in the peripheral branches of the greater trochanter on the lateral edge to the distance between the midpoint of the greater trochanter and medial to the midpoint of the distance between the upper edge of the same sex was significantly increased compared to p <0.05.5. Superior gluteal nerve in the buttocks of the body surface location: the location of the superior gluteal nerve at the piriformis, mainly distributed in the box 3c,68%of the total, the mean relative number, concentrated in the inner box belowresults suggest:1. people in this study by measuring the position of superior gluteal nerve the piriformis, hip surface positioning and positioning their own picture shows the proportion of 25 cells the accumulation of human anatomy and the basic data for clinical medicine.2. for clinical nerve on the hip deep surgical approach, the hole in the superior gluteal nerve entrapment by the piriformis syndrome, nerve transplantation, translocation and other treatment to provide reliable data and anatomical basis... |
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