發(fā)布時(shí)間：2018-07-07 18:52

  本文選題：陰部神經(jīng) + 應(yīng)用解剖��； 參考：《中國(guó)臨床解剖學(xué)雜志》2016年04期

【摘要】：目的從神經(jīng)胚胎發(fā)育的角度對(duì)陰部神經(jīng)的來(lái)源、組成、走行、分支進(jìn)行解剖學(xué)觀測(cè),為臨床會(huì)陰部手術(shù)提供依據(jù)。方法 16具(32側(cè))成人尸體標(biāo)本解剖觀察陰部神經(jīng)的組成、形態(tài)、走行、分支及其毗鄰關(guān)系,測(cè)量陰部神經(jīng)與毗鄰結(jié)構(gòu)距離等的數(shù)據(jù)。結(jié)果陰部神經(jīng)主要由S2、S3和S4前支混合后組成,但仍有部分由S2和S3前支混合后組成。陰部神經(jīng)在下行過(guò)程中有坐骨神經(jīng)及股后皮神經(jīng)的分支加入,三者之間相互交通的關(guān)系較為復(fù)雜;在陰部管及坐骨直腸窩,陰部神經(jīng)的毗鄰不同;陰部神經(jīng)分為盆內(nèi)和盆外分支。陰部神經(jīng)在陰部管內(nèi)距坐骨結(jié)節(jié)前緣下方的距離為(男25.47±3.18 mm,女26.38±2.56mm);陰部神經(jīng)在坐骨棘處距皮膚的距離為(男75.67±8.37 mm,女76.89±9.48 mm)。結(jié)論陰部神經(jīng)與毗鄰神經(jīng)交通復(fù)雜,細(xì)致的解剖對(duì)臨床相關(guān)手術(shù)及治療具有指導(dǎo)意義。
[Abstract]:Objective to observe the origin, composition, running and branch of pudendal nerve from the angle of nerve embryo development, and to provide basis for clinical perineum operation. Methods 16 adult cadavers (32 sides) were dissected to observe the composition, shape, path, branch and adjacent relationship of the pudendal nerve, and to measure the distance between the pudendal nerve and the adjacent structure. Results the pudendal nerve was mainly composed of S _ 2 S _ 3 and S _ 4 anterior branch, but some of them were composed of S _ 2 and S _ 3 anterior branch. In the descending process of the pudendal nerve, the branches of sciatic nerve and posterior cutaneous nerve of femur were added, the relationship between them was complicated, in the pudendal canal and ischiorectal fossa, the adjacent to pudendal nerve was different. The pudendal nerve is divided into intrapelvic and extrapelvic branches. The distance between the pudendal nerve and the anterior edge of the ischium was 25.47 鹵3.18mm for males and 26.38 鹵2.56mm for females, and the distance between pudendal nerve and skin was 75.67 鹵8.37mm for males and 76.89 鹵9.48 mm). For females. Conclusion the communication between the pudendal nerve and adjacent nerve is complicated, and careful anatomy is of guiding significance for clinical operation and treatment.
【作者單位】： 重慶醫(yī)科大學(xué)第一臨床學(xué)院;重慶醫(yī)科大學(xué)解剖學(xué)教研室;
【基金】：重慶市科技計(jì)劃項(xiàng)目(cstc2015jcyj A10036) 重慶醫(yī)科大學(xué)大學(xué)生科學(xué)研究與創(chuàng)新實(shí)驗(yàn)項(xiàng)目(201537)
【分類號(hào)】：R322.8

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