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臂丛下干的应用解剖观察 被引量:1

APPLIED ANATOMY OF THE INFERIOR TRUNK OF BRACHIAL PLEXUS
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摘要 目的了解斜角肌间隙内臂丛下干与邻近组织结构及胸1神经干与第1肋的关系,为临床诊治臂丛下干卡压症提供解剖学依据。②方法在21具42侧成人标本上观测臂丛下干与邻近结构的位置关系。③结果在42侧标本的斜角肌间隙内,有33侧在前斜角肌的后内侧存在孤立的肌束,臂丛下干分别从其前下方(23侧)或后上方(10侧)通过;组成臂丛下干的胸1神经干在斜越第1肋前内侧面时部分穿行于骨纤维管内。④结论该肌束的压迫或拱抬均可成为臂丛下干受压的因素之一;组成臂丛下干的胸1神经干在越过第1肋时易受压迫。 \ Objective \ To learn about the inferior trunk of brachial plexus and its relationship with its neighbour structure in the scalene fissure as well as the connection between T1 nerve root and the first rib in order to provide anatomic proofs for diagnosis and treatment of brachial plexus compression syndrome.\ Methods \ Anatomical study was done on 42 sides of 21 adult embalmed cadavers. The locational relationship between the inferior trunk of brachial plexus and its neighbour structure was observed and measured.\ Results \ In the scalene fissure,there was an isolated muscle on the posteromedial of scalene anterior and it was found in 33 sides of the cadavers. The inferior trunk of brachial plexus went through its interoinferior side (23 sides) or its posterosuperior side (10 sides) respectively; T1 nerve root, which formed the inferior trunk of brachial plexus, went partly through inside a tube of bone and fibre when crossing the anteromedial side of the first rib.\ Conclusion \ The compression or lifting of the isolated muscle might be one of the causes of the inferior trunk compression of brachial plexus; T1 nerve root was easy to be compressed when crossing the first rib.\;
出处 《青岛医学院学报》 1999年第1期37-38,共2页 Acta Academiae Medicinae Qingdao Universitatis
关键词 臂丛 胸神经 前斜角肌 神经解剖学 臂丛卡压症 \ brachial plexus thoracic nerve scalene anterior neuroanatomy
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  • 1顾玉东,吴敏明,郑忆柳,杨东岳,李鸿儒.臂丛综合征120例临床分析[J]上海第一医学院学报,1984(03).

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