后颅窝静脉、脊髓血管.pptVIP

Along its course, the branches from the vertebral artery, ascending cervical artery, intercostal arteries, lumbar arteries, middle sacral artery and the internal iliac artery join in different segments to form the anterior or posterior longitudinal spinal axis. 当前30页，共83页，星期日。 SPINAL ARTERIES Spinal arteries are divided into 3 main groups: The first goup: It consists of the vertebral artery, ascending cervical artery, deep cervical artery and the first intercostal artery ,which all arise from the subclavian artery. The second group: It is from the intercostal and lumbar arteries of aorta The third group: from the iliolumbar artery, middle sacral artery and lateral sacral artery of the internal iliac artery. 当前31页，共83页，星期日。 1. The first group It consists of the vertebral artery, ascending cervical artery, deep cervical artery and the first intercostal artery which all arise from the subclavian artery. The main branches from the subclavian artery from medial to lateral are: vertebral artery, internal thoracic artery, thyrocervical trunk, costocervical trunk, all except the internal thoracic artery supply the spinal cord and vertebrae. 当前32页，共83页，星期日。 当前33页，共83页，星期日。 1.1 The thyro-cervical trunk It is a short segment, which divides into several branches immediately after arising from the medial margin of the anterior scalenus, which include: 1). Inferior thyroid artery: It runs supero-medially to supply the inferior pole of the lateral lobe of the thyroid and the superior part of the oesophagus and pharynx. 2). Suprascapular artery: It supplies the supraspinatus and the infraspinatus and the scapula. 3). Ascending cervical artery: It may arise together with the inferior thyroid artery, it runs superiorly to supply the cervical muscles and mostly involves in the blood supply of the spinal cord and dura. 当前34页，共83页，星期日。 当前35页，共83页，星期日。 1.2 Costocervical trunk It is also short and has important branches including the deep cervical artery and