胸长神经:修订间差异
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#REDIRECT [[長胸神經]] |
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{{medical}} |
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{{Infobox nerve |
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| Name = 胸长神经({{lang|en|long thoracic nerve}}) |
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| Latin = nervus thoracicus longus |
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| Image = Nerves of the left upper extremity.gif |
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| Caption = 左上肢的神经(胸长神经垂直标记在肩部,动脉左侧,从左往右数第二根垂直的神经。) |
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| Image2 = Gray808.png |
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| Caption2 = 右侧[[臂丛]]和其短分支前面观(胸长神经被标记在中央,从上起第三个) |
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| Innervates = [[前锯肌]] |
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| BranchFrom = [[臂丛]] (C5-C7) |
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| BranchTo = |
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}} |
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'''胸长神经'''({{lang|en|long thoracic nerve}})为[[臂丛]]的一个分支,起自颈神经(C5-C7)根,支配[[前锯肌]]。 |
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==结构== |
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胸长神经起自C5-C7神经根,在臂丛主要结构后向外下进入[[腋窩|腋窝]],沿胸侧壁前锯肌表面随[[胸外侧动脉]]下行。<ref>{{Cite book|chapter=CHAPTER 53 - Neurodynamic Techniques for the Athlete's Shoulder|title=The Athlete's Shoulder (Second Edition)|url=https://www.sciencedirect.com/science/article/pii/B9780443067013500566|publisher=Churchill Livingstone|date=2009-01-01|location=Philadelphia|isbn=978-0-443-06701-3|pages=707–717|doi=10.1016/b978-044306701-3.50056-6|first=John|last=Tomberlin|editor-first=Kevin E.|editor-last=Wilk}}</ref><ref name=":0">{{Cite book|chapter=Anatomy, Thorax, Long Thoracic Nerve|title=StatPearls|url=http://www.ncbi.nlm.nih.gov/books/NBK535396/|publisher=StatPearls Publishing|date=2024|location=Treasure Island (FL)|pmid=30571017|first=Kirsten|last=Lung|first2=Forshing|last2=Lui}}</ref> |
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===变异=== |
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在大约 10% 的人群中,胸长神经也接受来自 C8 的神经供应。<ref name=":0" /> |
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==临床意义== |
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===翼状肩=== |
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[[翼状肩]]是指胸长神经损伤引起前锯肌瘫痪,肩胛骨脊柱缘翘起呈翼状。<ref>{{Cite web|title=术语在线|url=https://www.termonline.cn/wordDetail?subject=48bc903826a911ee9bacb068e6519520&base=1|website=www.termonline.cn|language=zh|url-status=live|access-date=2024-04-01|quote=胸长神经损伤引起前锯肌瘫痪,肩胛骨脊柱缘翘起呈翼状。}}</ref>乳房切除术、臂丛炎可能造成胸长神经的损伤,从而导致翼状肩。<ref name=":1">{{Cite book|chapter=Long Thoracic and Thoracodorsal Nerves|title=Anatomy and Exposures of Spinal Nerves|url=https://link.springer.com/10.1007/978-3-319-14520-4_13|publisher=Springer International Publishing|date=2015|location=Cham|isbn=978-3-319-14519-8|pages=49–50|doi=10.1007/978-3-319-14520-4_13|language=en|first=Amgad S.|last=Hanna}}</ref> |
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可用[[胸背神经]]的后支支配胸长神经以治疗翼状肩。<ref name=":1" /><ref>{{Cite journal |last=Ray |first=Wilson Z. |last2=Pet |first2=Mitchell A. |last3=Nicoson |first3=Michael C. |last4=Yee |first4=Andrew |last5=Kahn |first5=Lorna C. |last6=Mackinnon |first6=Susan E. |date=2011-10-01 |title=Two-level motor nerve transfer for the treatment of long thoracic nerve palsy: Case report |url=https://thejns.org/view/journals/j-neurosurg/115/4/article-p858.xml |journal=Journal of Neurosurgery |language=en-US |volume=115 |issue=4 |doi=10.3171/2011.5.JNS101615 |issn=1933-0693}}</ref> |
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==参考文献== |
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{{Reflist}} |
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[[Category:上肢神經]] |
2024年4月1日 (一) 14:21的最新版本
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