本文選題：頸交感神經(jīng) + 上胸交感干�。� 參考：《廣西醫(yī)科大學(xué)》2011年碩士論文

【摘要】：目的:通過(guò)對(duì)頸部交感神經(jīng)的解剖和顯微觀察,了解頸部交感神經(jīng)的位置及其毗鄰關(guān)系,闡明與臨床相關(guān)癥狀的關(guān)系;對(duì)上胸段交感神經(jīng)的大體解剖和顯微解剖觀察,了解頸部交感神經(jīng)與上胸段交感神經(jīng)的聯(lián)系,為臨床診斷和治療提供解剖依據(jù)。 方法:選擇30具60側(cè)(男40側(cè),女20側(cè))完整的福爾馬林浸泡過(guò)的成人尸體標(biāo)本,對(duì)其做頸部交感神經(jīng)和上胸段交感神經(jīng)的解剖觀察,觀察其與周圍相鄰組織結(jié)構(gòu)的關(guān)系及其位置,以及頸交感神經(jīng)節(jié)與胸交感神經(jīng)節(jié)之間的聯(lián)系。 結(jié)果:頸交感神經(jīng)節(jié)與椎動(dòng)脈表面存在著相對(duì)應(yīng)的頸交感神經(jīng)節(jié)交通支,即椎動(dòng)脈上中下三段分別與頸上交感神經(jīng)、頸中交感神經(jīng)、頸下交感神經(jīng)節(jié)發(fā)出的分支相對(duì)應(yīng);臂叢神經(jīng)與頸中下交感神經(jīng)節(jié)存在廣泛交通支;上胸段交感神經(jīng)多位于相應(yīng)的肋間,隨著節(jié)段下移,出現(xiàn)在下一位肋骨上緣或者平下一肋骨的幾率逐漸增高;頸部交感神經(jīng)節(jié)與上胸段交感神經(jīng)節(jié)之間除了主干外還存在額外的交通支,即①胸2交感神經(jīng)節(jié)發(fā)出上升支至上一位臂叢或者肋間神經(jīng)②星狀神經(jīng)節(jié)發(fā)出下降支到下一位肋間神經(jīng)③肋間神經(jīng)發(fā)出上升支到上一位肋間神經(jīng)或者臂叢。 結(jié)論:頸交感神經(jīng)干存在較為明顯的受刺激解剖學(xué)基礎(chǔ),頸部任何組織的變化都能引起頸交感神經(jīng)的興奮,從而引起周圍神經(jīng)癥狀及腦部血管的變化。頸胸交感干和頸胸額外交通支可能存在相互代償作用,相互影響,這使得采用去交感神經(jīng)支配治療各種病癥時(shí),切除交感神經(jīng)的范圍難以確定。
[Abstract]:Objective: to understand the position of cervical sympathetic nerve and its adjacent relationship, to clarify the relationship with clinical symptoms, to observe the gross anatomy and microscopic anatomy of the sympathetic nerve in the upper thoracic segment, and to observe the relationship between the position and the adjacent relationship of the sympathetic nerve in the cervical region by observing the anatomy and microscopic observation of the sympathetic nerve in the neck. To understand the relationship between cervical sympathetic nerve and superior thoracic sympathetic nerve and to provide anatomic basis for clinical diagnosis and treatment. Methods: a total of 30 adult cadavers with 60 sides (40 male and 20 female) soaked in formalin were selected for anatomic observation of cervical sympathetic nerve and upper thoracic sympathetic nerve. The relation and location of the adjacent tissue structure and the relationship between cervical sympathetic ganglion and thoracic sympathetic ganglion were observed. Results: there were corresponding communicating branches of the cervical sympathetic ganglion on the surface of the cervical sympathetic ganglion, that is, the superior and inferior segments of the vertebral artery corresponded to the superior cervical sympathetic nerve, the middle cervical sympathetic nerve and the branch of the subcervical sympathetic ganglion, respectively. There are extensive communicating branches between brachial plexus and middle and lower cervical sympathetic ganglia, the sympathetic nerve of upper thoracic segment is located in the corresponding intercostal space, and the probability of appearing in the upper edge of the next rib or flat lower rib gradually increases with the segment moving down. In addition to the main trunk, there are additional communicating branches between the sympathetic ganglion of the neck and the sympathetic ganglion of the upper thoracic segment. That is to say, the ascending branch of thoracic 2 sympathetic ganglion is superior to one brachial plexus or intercostal nerve 2 stellate ganglion sends out descending branch to the ascending branch of 3 intercostal nerve of the next intercostal nerve to the superior intercostal nerve or brachial plexus. Conclusion: there is an obvious anatomical basis for the stimulation of cervical sympathetic trunk. Any change of cervical tissue can induce the excitability of cervical sympathetic nerve and the changes of peripheral nerve symptoms and cerebral blood vessels. The sympathetic trunk of the neck and chest and the extra communicating branch of the neck and chest may have mutual compensatory effects and influence each other, which makes it difficult to determine the extent of the removal of the sympathetic nerve in the treatment of various diseases by the use of the desorption of sympathetic nerve innervation.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2011
【分類號(hào)】：R322

【引證文獻(xiàn)】

相關(guān)期刊論文 前1條

1 范大鵬;孫波;金哲峰;;椎動(dòng)脈型頸椎病發(fā)病機(jī)制研究進(jìn)展[J];中國(guó)中醫(yī)骨傷科雜志;2012年10期

，

本文編號(hào)：1914562