肩胛冈周围应用解剖的.pptVIP

肩胛冈周围应用解剖学 郑州大学人体解剖学教研室 徐高磊 xumoze1986@163.com Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 主要内容 一 肩胛骨 二 肌肉 冈上肌、冈下肌、斜方肌、三角肌 三 血管神经 肩胛动脉网、肩胛上神经 四 重要结构体表投影 肩胛上、下孔等 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 肩胛骨位置 位于胸廓后外面， 介于第2～7肋之间 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 肩胛骨的形态 两面，三缘，三角 三角形 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 对肩胛冈进行测量 项目 长度（mm） 肩胛冈 左 135.0±12.3 右 143.9±3.7 肩胛冈基部 左 88.1±7.4 右 91.4±1.2 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 肩胛上、下横韧带 肩胛上孔：由肩胛切迹和肩胛上横韧带围成 肩胛下孔：由冈盂切迹和连于肩峰根部及肩胛骨背面的肩胛下横韧带围成 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 肩胛上、下横韧带 肩胛上横韧带 长(1.42± 0.33)cm 宽(3.96±0.95)mm 厚(2.14 ±0.58)mm 肩胛下横韧带 长(2.21±0.40)cm 宽(4.54±0.89)mm 厚(2.56±0.67)mm Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 肩胛动脉网 肩胛上动脉 (甲状颈干一支) 肩胛背动脉 旋肩胛动脉 （肩胛下动脉分支） 锁骨下 动脉 腋动脉→ 注：通过肩胛切迹的肩胛上动脉直 径为（0.23±0.05）cm Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 尸体解剖肩胛动脉网 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 肩胛区神经支配 肩胛上神经（C5-6） 起于臂丛上干，斜向后外下, 行于斜方肌深面，至肩胛上孔与其孔外的肩胛上动脉伴行，入冈上窝，在此发出冈上肌支及关节支，主干移行为冈下肌支向后外与肩胛上动脉伴行穿肩胛下孔急转向后内至冈下窝 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 肩胛上神经 研究表明：85%神经走在韧带下方，动脉走在韧带外上方，12