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颈部横断层解剖_1

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颈部断层解剖 颈部横断层解剖 颈部断层解剖一
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The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈颈 部部 横横 断断 层层 解解 剖剖 南京医科大学人体解剖学系南京医科大学人体解剖学系 左一智左一智 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈部血管、神经和脏器配部规律颈部血管、神经和脏器配部规律 在横断面上,可将颈部的深在横断面上,可将颈部的深 层结构分为四部分:后方的层结构分为四部分:后方的支支 持格持格、前方的、前方的内脏格内脏格 和两侧和两侧 的的血管神经格血管神经格。。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 1. 1. 支持格支持格位于断面后部,主要内容物位于断面后部,主要内容物 是颈深肌群、椎体以及臂丛根部是颈深肌群、椎体以及臂丛根部 和交感干等和交感干等 2. 2. 内脏格内脏格位于断面前部正中,主要内位于断面前部正中,主要内 容物是咽、食管、喉、气管容物是咽、食管、喉、气管 及甲及甲 状腺等脏器状腺等脏器 颈部血管、神经和脏器配部规律颈部血管、神经和脏器配部规律 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 3. 3. 血管神经格血管神经格位于两侧,胸锁乳突肌位于两侧,胸锁乳突肌 覆盖颈血管鞘,鞘内见颈内静脉覆盖颈血管鞘,鞘内见颈内静脉 及其属支,颈总动脉(颈内动脉及其属支,颈总动脉(颈内动脉 ),迷走神经及淋巴结等结构。),迷走神经及淋巴结等结构。 颈部血管、神经和脏器配部规律颈部血管、神经和脏器配部规律 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格——甲状腺甲状腺 形态形态 “ “HH” ”形形——左、右叶和峡部,左、右叶和峡部, 锥状叶锥状叶(60%).(60%). 位置位置 两叶两叶 喉与气管前外侧喉与气管前外侧 上极平甲状软骨中点上极平甲状软骨中点 下极至第下极至第6 6气管软骨环气管软骨环 峡部峡部 第第2-42-4气管软骨环气管软骨环 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格——甲状旁腺甲状旁腺 形态形态 绿豆大小绿豆大小 ,上、下各,上、下各1 1对对 位置位置 甲状腺后面真、假被囊间甲状腺后面真、假被囊间 位置位置 上上甲状旁腺在甲状腺侧叶后甲状旁腺在甲状腺侧叶后 缘中点以上,平环状软骨高度缘中点以上,平环状软骨高度 下下甲状旁腺在甲状腺侧叶后甲状旁腺在甲状腺侧叶后 缘下缘下1/31/3附近附近( (约约60%)60%) The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格— — 喉喉 喉的位置喉的位置 位于内脏格内,位于内脏格内, 入口为喉口,断入口为喉口,断 面中首先切及会厌及舌骨,平第面中首先切及会厌及舌骨,平第4 4、、5 5颈颈 椎;下界为环状软骨下缘,平第椎;下界为环状软骨下缘,平第7 7颈椎颈椎 下缘。下缘。 舌骨舌骨 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格— — 喉喉 喉的位置喉的位置 位于内脏格内,位于内脏格内, 入口为喉口,断入口为喉口,断 面中首先切及会厌及舌骨,平第面中首先切及会厌及舌骨,平第4 4、、5 5颈颈 椎;下界为环状软骨下缘,平第椎;下界为环状软骨下缘,平第7 7颈椎颈椎 下缘。下缘。 环状软骨环状软骨 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格— — 喉喉 会会 厌厌 谷谷 梨梨 状状 隐隐 窝窝 会厌谷会厌谷 喉口喉口 舌舌 会会 厌厌 正正 中中 襞襞 梨梨 状状 隐隐 窝窝 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格— — 喉喉 喉的软骨喉的软骨 会厌软骨会厌软骨 甲状软骨甲状软骨 杓状软骨杓状软骨 环状软骨环状软骨 喉的连接喉的连接 环甲关节环甲关节 环杓关节环杓关节 喉内间隙喉内间隙 会厌前间隙、声门旁间隙会厌前间隙、声门旁间隙 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格— — 喉喉 喉的软骨喉的软骨 会厌软骨会厌软骨 甲状软骨甲状软骨 杓状软骨杓状软骨 环状软骨环状软骨 喉的连接喉的连接 环甲关节环甲关节 环杓关节环杓关节 喉内间隙喉内间隙 会厌前间隙、声门旁间隙会厌前间隙、声门旁间隙 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 内内 脏脏 格格— — 喉喉 会厌前间隙会厌前间隙 声声 门门 旁旁 间间 隙隙 喉的软骨喉的软骨 会厌软骨会厌软骨 甲状软骨甲状软骨 杓状软骨杓状软骨 环状软骨环状软骨 喉的连接喉的连接 环甲关节环甲关节 环杓关节环杓关节 喉内间隙喉内间隙 会厌前间隙、声门旁间隙会厌前间隙、声门旁间隙 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 喉腔:喉腔:喉前庭、喉中间腔、声门下腔喉前庭、喉中间腔、声门下腔 内内 脏脏 格格— — 喉喉 声门裂声门裂 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈内静脉颈内静脉 起自颅底颈静脉孔,下行于颈血起自颅底颈静脉孔,下行于颈血 管鞘内,位于颈内动脉的后外侧管鞘内,位于颈内动脉的后外侧 。沿途接受面静脉、甲状腺上静。沿途接受面静脉、甲状腺上静 脉等属支注入。脉等属支注入。 血管神经格血管神经格 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈内静脉颈内静脉 起自颅底颈静脉孔,下行于颈血起自颅底颈静脉孔,下行于颈血 管鞘内,位于颈内动脉的后外侧管鞘内,位于颈内动脉的后外侧 。沿途接受面静脉、甲状腺上静。沿途接受面静脉、甲状腺上静 脉等属支注入。脉等属支注入。 血管神经格血管神经格 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈总动脉颈总动脉 右侧起自头臂干,左侧起自主动右侧起自头臂干,左侧起自主动 脉弓。上行在颈部的颈血管鞘内脉弓。上行在颈部的颈血管鞘内 ,位于颈内静脉的前内侧,约在,位于颈内静脉的前内侧,约在 甲状软骨上缘水平分为甲状软骨上缘水平分为颈外颈外和颈和颈 内动脉两支。内动脉两支。 血管神经格血管神经格 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈总动脉颈总动脉 右侧起自头臂干,左侧起自主动右侧起自头臂干,左侧起自主动 脉弓。上行在颈部的颈血管鞘内脉弓。上行在颈部的颈血管鞘内 ,位于颈内静脉的前内侧,约在,位于颈内静脉的前内侧,约在 甲状软骨上缘水平分为甲状软骨上缘水平分为颈外颈外和和颈颈 内内动脉两支。动脉两支。 血管神经格血管神经格 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 迷走神经迷走神经 舌下神经舌下神经 副神经副神经 血管神经格血管神经格 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈外侧淋巴结颈外侧淋巴结 颈外侧浅淋巴结颈外侧浅淋巴结 颈外侧深淋巴结颈外侧深淋巴结 颈部淋巴结颈部淋巴结 血管神经格血管神经格 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 颈外侧深淋巴结颈外侧深淋巴结 咽后淋巴结咽后淋巴结 角淋巴结角淋巴结 锁骨上淋巴结锁骨上淋巴结 颈内静脉肩胛舌骨肌淋巴结颈内静脉肩胛舌骨肌淋巴结 血管神经格血管神经格 颈部淋巴结颈部淋巴结 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 会厌和舌骨大角层面会厌和舌骨大角层面 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 舌骨体层面舌骨体层面 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 甲状软骨上份层面甲状软骨上份层面 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 甲状软骨中份层面甲状软骨中份层面 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 声襞和喉中间腔层面声襞和喉中间腔层面 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 环状软骨层面环状软骨层面 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee.
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