發(fā)布時間：2018-05-12 13:09

  本文選題：副神經 + 舌下神經�。� 參考：《鄭州大學》2005年碩士論文

【摘要】：目的 本研究的目的是獲得關于顱外段副神經、舌下神經的詳細解剖學資料,明確其與周圍結構的空間定位關系,為臨床手術提供形態(tài)學和局部解剖學依據。 方法 選取國人成人頭顱標本10具(20側),經福爾馬林固定,并紅色乳膠灌注。按頸部分區(qū)逐一解剖各頸三角,顯露副神經、舌下神經顱外部分的全程。在解剖過程中,仔細觀測副神經、舌下神經及毗鄰結構。解剖過程中所有解剖步驟均照相記錄。 結果 1、副神經出頸靜脈孔后分為腦根(即內支)和脊髓根(即外支)。腦根直接并于迷走神經干或結狀神經節(jié)。脊髓根緊貼頸內靜脈下行,于莖突及頸內靜脈形成的夾角內穿出莖突部深面。繼續(xù)下行,于二腹肌后腹下緣處穿出,最大外徑1.58mm。副神經在二腹肌后腹下緣處55%(11/20)越過頸內靜脈淺面,45%(9/20)經頸靜脈深面至其后緣。繼續(xù)下行,60%(12/20)穿入胸鎖乳突肌;40%(8/20)副神經主干在胸鎖乳突肌深面行走,并在胸鎖乳突肌中上1/3稍靠上發(fā)出分支支配胸鎖乳突肌。副神經繼續(xù)向外下穿出胸鎖乳突肌后緣,穿出點距耳大神經出胸鎖乳突肌后緣出點上方11.08±2.44(7.60-15.20)mm淺出。而后走在頸后三角區(qū),100%副神經在肩胛提肌表面,中間隔一椎前筋膜。副神經向下、后、外方直行,60%(12/20)副神經在進入斜方肌前與該肌前緣平行下行后入該肌;40%(8/20)與斜方肌前緣呈角進入該肌;進入點在斜方肌前緣中下1/3交界處,進入斜方肌并發(fā)分支。
[Abstract]:Purpose The purpose of this study was to obtain the detailed anatomical data of the extracranial accessory nerve and hypoglossal nerve, and to clarify the spatial localization relationship between them and the surrounding structures, and to provide the morphological and local anatomical basis for clinical operation. Method Ten adult head specimens were fixed with formalin and infused with red latex. The cervical triangle was dissected one by one according to the division of the neck to expose the accessory nerve and the extracranial part of the hypoglossal nerve. During anatomy, the accessory nerve, hypoglossal nerve and adjacent structures were carefully observed. All anatomical steps were recorded. Result 1. The accessory nerve was divided into brain root (internal branch) and spinal cord root (external branch) after jugular foramen. The root of the brain is located directly in the vagus trunk or in the ganglion. The root of the spinal cord follows the internal jugular vein and penetrates the deep side of the styloid process in the angle between the styloid process and the internal jugular vein. It continued to descend and was perforated at the lower margin of the posterior abdomen of the bicentric muscle, with a maximum external diameter of 1.58 mm. The accessory nerve crossed the superficial surface of the internal jugular vein at 55 / 20 at the lower margin of the posterior ventral part of the bicentral muscle and passed through the deep side of the jugular vein to the posterior edge of the jugular vein. The accessory nerve trunk walks on the deep side of the sternocleidomastoid muscle, and a third of the upper third of the sternocleidomastoid muscle innervates the sternocleidomastoid muscle. The accessory nerve continued to perforate the posterior edge of sternocleidomastoid muscle under the external direction, and the point from the posterior edge of the greater auricular nerve to the posterior edge of the sternocleidomastoid muscle was 11. 08 鹵2.44(7.60-15.20)mm shallow. Then 100% accessory nerve was located in the posterior cervical trigonometry on the surface of the levator scapularis muscle with an intervertebral fascia. The accessory nerve enters the trapezius muscle at an angle to the anterior edge of the trapezius muscle and enters the trapezius muscle at the lower third of the trapezius anterior edge at the point of entry at the lower third of the trapezius muscle.
【學位授予單位】：鄭州大學
【學位級別】：碩士
【學位授予年份】：2005
【分類號】：R322

【參考文獻】

相關期刊論文 前10條

1 王滬祥;譚允西;韓洵;;副神經節(jié)、副神經顱內段及其與上部頸神經后根的關系[J];青島醫(yī)學院學報;1982年02期

2 陳合新,鐘世鎮(zhèn),許庚;二腹肌前腹-下頜骨膜瓣修復喉氣管應用解剖學研究[J];第一軍醫(yī)大學學報;2000年06期

3 廖進民,賴漢標,呂端遠,陳坤;舌神經的臨床應用解剖學研究[J];廣東醫(yī)學院學報;1998年Z1期

4 王峰,溫玉明,李龍江,王昌美;頸神經叢深支對斜方肌運動功能的影響[J];華西口腔醫(yī)學雜志;2003年03期

5 王昌美,王峰,溫玉明,王曉毅,付風華,李龍江;頸淋巴清掃術后肩綜合征的防治[J];華西口腔醫(yī)學雜志;1998年04期

6 劉純義,趙蘊久;舌下神經舌骨舌肌段的應用解剖[J];解剖科學進展;1997年02期

7 官士兵,陳德松,方有生,蔡佩琴,顧玉東;副神經的臨床應用解剖學研究[J];解剖與臨床;2004年01期

8 馬萬里;鄭天中;楊萬錄;;副神經的疊加定位[J];解剖學雜志;1985年04期

9 丁文龍,熊樹明,王桂秀,溫蔚;家兔副神經外支及其分支的起始核[J];解剖學雜志;1991年03期

10 汪立鑫,黃瀛,黨瑞山,紀榮明,朱吉林;耳大神經的應用解剖[J];解剖學雜志;1995年06期

，

本文編號：1878741