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胸锁乳突肌亚部肌构筑、肌梭和神经入肌点定位

Muscle architecture and muscle spindle of compartments of sternocleidomastoid muscle and localization of entrance point of muscular nerve
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摘要 目的:为胸锁乳突肌亚部的临床应用提供形态学依据。方法:肌构筑法,组织学HE染色和体视学法。结果:(1)胸骨头亚部的肌重与生理横切面积分别是锁骨头两亚部之和的1.39倍与1.33倍;锁骨头深亚部的肌纤维长仅为胸骨头亚部肌纤维长的82%。(2)胸骨头亚部和锁骨头浅亚部的肌梭密度显著小于锁骨头深亚部。(3)副神经胸锁乳突肌支绕锁骨头深亚部后缘(占65%)入肌时距乳突尖(4.39±0.42)cm,而穿锁骨头深亚部(占35%)入肌时距乳突尖(3.96±0.34)cm。结论:胸骨头亚部是胸锁乳突肌肌力的主要提供者。锁骨头深亚部更多参与维持头部姿势。 To provide morphological data for clinical application of the compartments of sternocleidomastoid muscle (SCM). Methods. Muscle architecture method, HE staining and stereology method were used. Results: (1)The muscle weight and physiologic cross sectional area of the sternal head compartment were respectively 1.39 and 1.33 times than those of both clavicular-head compartments. (2) The muscle spindle density of the sternal-head compartment and the superficial clavicular-head compartment were obviously less than those of the deep clavicular-head compartment. (3)When the SCM branch of accessory nerve was around the posterior edge of the deep clavicular-head compartment of SCM (65%), the distance between the entrance point of the accessory nerve and the tip of mastoid process was (4.39±0. 42)cm. But when it was inserted into the deep clavicular-head compartment of SCM (35%), the distance was (3.96±0. 34)cm. Conclusion: The force of SCM is mainly produced by the sternal-head compartment. The deep clavicular-head compartment mainly takes part in maintaining the position of head.
出处 《解剖学杂志》 CAS CSCD 北大核心 2005年第4期465-467,共3页 Chinese Journal of Anatomy
基金 教育部科学技术研究重点项目基金(02136)
关键词 胸锁乳突肌亚部 肌构筑 肌梭 神经入肌点 muscle architecture muscle spindle nerve sternocleidomastoid muscle
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