[1]廖立青 李义凯△ 贺善礼 林柏延.第三枕神经的解剖学观测及临床意义[J].中国中医骨伤科杂志,2017,25(02):12-14.
　LIAO Liqing LI Yikai HE Shanli LIN Baiyan.Anatomical Observation of the Third Occipital Nerve and Its Clinical Significance[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(02):12-14.
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第三枕神经的解剖学观测及临床意义()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年02期
页码:
12-14
栏目:
实验研究
出版日期:
2017-02-15

文章信息/Info

Title:
Anatomical Observation of the Third Occipital Nerve and Its Clinical Significance
文章编号:
1005-0205(2017)02-0012-03
作者:
廖立青1 李义凯1△ 贺善礼2 林柏延1
1南方医科大学中医药学院骨伤科教研室(广州,510515) 2南方医科大学解剖教研室 △通信作者 E-mail:1169546158@qq.com
Author(s):
LIAO Liqing1 LI Yikai1△ HE Shanli2 LIN Baiyan1
1Department of Orthopedics,Academy of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515,China; 2Department of Anatomy,Southern Medical University,Guangzhou 510515,China.
关键词:
枕神经痛;  第三枕神经;  第三枕神经痛
Keywords:
occipital neuralgia;  the third occipital nerve;  the third occipital neuralgia
分类号:
R-33
文献标志码:
A
摘要:
目的:为枕神经痛,特别是第三枕神经痛的诊疗提供解剖学依据。方法:在10具标本上(男 7具,女 3具,共20侧),对第三枕神经的起止点、走形、分布和毗邻关系进行解剖学观测。结果:1)第三枕神经发出分支支配C2-3关节突关节,其与第四颈神经根后支相交通的概率是70%(14侧),其穿出头半棘肌的位置为枢椎棘突水平面旁开平均0.84 mm处; 2)第三枕神经与枕大神经在头半棘肌表面相交通的概率是60%(12侧),在斜方肌表面相交通的概率是40%(8侧); 3)第三枕神经分布在上项线以下,枢椎棘突水平面以上,头夹肌以内,项韧带以外。结论:第三枕神经与枕大神经、第四颈神经后支三者相互交通,所以诊断枕部痛时应该多加考虑第三枕神经痛。
Abstract:
Objective:To provide anatomical basis for the diagnosis and treatment of the occipital neuralgia,especially for the third occipital neuralgia.Methods:In 10 specimens(male 7,female 3,a total of 20 sides).The starting and ending points,the out of shape,the distribution and the adjacent relationship of the third occipital nerves were observed anatomically.Results:1.The third occipital nerve sent branches to dominate C2-3 zygapophyseal joints,which had a 70% probability of communicating with the fourth cervical nerves dorsal branch nerve(14 sides),piercing the semispinalis capitis at the level of axis spinous process to open an average of 0.84mm; 2.The probability of the third occipital nerve and the occipital nerve communicated at the surface of the semispinalis capitis was 60%(12 sides),and the probability of communicating at the surface of the trapezius was 40%(8 sides); 3.The third occipital nerve was distributed below the superior nuchal line,above the axis spinous process level,within the splenius capitis muscle,and outside the nuchal ligament.Conclusion:The third occipital nerve,the occipital nerve and the fourth cervical nerves dorsal branch nerve communicate with each other,so the diagnosis of occipital pain should be considered the third pillow neuralgia.

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更新日期/Last Update: 2017-09-08