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1、頸部一、概述二、淺層結(jié)構(gòu)三、頸部深筋膜四、頸前區(qū)五、胸鎖乳突肌區(qū)六、頸根部七、頸側(cè)區(qū)January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG一、概述境界：內(nèi)容：January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG頸部分區(qū)：項部固有頸部（頸部）頸前
2、區(qū)胸鎖乳突肌區(qū)頸側(cè)區(qū)January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG舌骨上區(qū):下頜下三角頦下三角舌骨下區(qū):頸動脈三角肌三角頸前區(qū)：January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG胸鎖乳突肌區(qū)頸側(cè)區(qū)：枕三角鎖骨上大窩January,20
3、07Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG二、淺層結(jié)構(gòu)1.頸闊肌2.淺靜脈3.皮神經(jīng)January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG1.頸闊肌起點：三角肌和胸大肌表面的筋膜。止點：口角頸闊肌深面有淺靜脈和皮神經(jīng)。January,2007Copyri
4、ght?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG2.淺靜脈①頸前靜脈注入頸外靜脈②頸外靜脈注入鎖骨下靜脈或靜脈角January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG3.皮神經(jīng)(1)為頸叢的皮支:①頸橫神經(jīng)②耳大神經(jīng)③枕小神經(jīng)④鎖骨上神經(jīng)頸部麻醉點：(2)面神經(jīng)頸支Janua
5、ry,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG三、頸部深筋膜分淺、中、深三層。January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG包裹二肌二腺，形成肌鞘和腺鞘。二?。盒狈郊⌒劓i乳突肌二腺：下頜下腺腮腺1.深筋膜淺層（封套筋膜）January,20
6、07Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG位于舌骨下肌群的后方，上附于舌骨，下續(xù)纖維性心包，分二層包繞甲狀腺，形成甲狀腺鞘。2.深筋膜中層（氣管前筋膜）January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG上自顱底，下續(xù)前縱韌帶與胸內(nèi)筋膜，并向下外包繞腋
7、血管及臂叢，形成腋鞘。3.深層（椎前筋膜）January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG為包繞頸部大血管和迷走神經(jīng)的筋膜鞘。頸動脈鞘：January,2007Copyright?Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG頸動脈鞘內(nèi)上部有頸內(nèi)動脈、下部有頸總動脈，頸內(nèi)靜脈
8、位于動脈的外側(cè)，迷走神經(jīng)位于兩者之間的后方。January,2007Copyright?Depart.Anatomy,Sc
