周围神经损伤的论断与治疗 周围神经解剖 周围神经损伤原因及分类 周围神经损伤的检查与诊断 周围神经损伤的处理 常见的周围神经损伤
周围神经损伤的诊断与治疗 •周围神经解剖 •周围神经损伤原因及分类 •周围神经损伤的检查与诊断 •周围神经损伤的处理 •常见的周围神经损伤
解剖生理 周围神经的解到生理学 Spinal Membranes and Nerve roots Posterior view 31对脊神经组成 交感、感觉、运动的混 Gray and white rami communicant 合神经 Dorsal ramus of spinal 共组成四大丛 x(颈丛、臂丛、腰丛 Filaments of dorsal root. 骶丛) Denticulate ligament
周围神经的解剖生理学 •31 对脊神经组成 •交感、感觉、运动的混 合神经 •共组成四大丛 （颈丛、臂丛、腰丛、 骶丛） 解剖生理
s to Cervical plexus cervical (sympathetic] ganglion Schema Accessory nerve hypoglossal nerve[(Xi) Great auricular nerve Communication to vagus nerve Lesser occipital nerve To geniohyoid mus C1 To thyrohyoid muscl C2 Transverse c3 To omohyoid muscle To longus capitis and longus colli muscles c4 Superior root of ansa cervicalis scapulae muscles Inferior root of ansa cervicalis enIc nerve To sternohyoid muscle To omohyoid muscle [in ferior belly) Supraclavicular nerves 颈丛的组成:C14
颈丛的组成：C1—4
Brachial plexus Schema To longus colli and scalene muscles [C5, 6, 7, 8 Dorsal scapular nerve [C5) Contribution from C To phrenic To subclavius muscle(C5. 6) c56 ve[C5. 6,7) osterior Musculocutaneous C56,7 Axillary nerve Long thoracic nerve[C5. 6. 7) c56 56,7,8.T1 c56.78.T们 Posterior divisions Medial c8.T1 7.8.T1) Media: cutaneous nerve of arm(T1) Lower subscapular nerve[(C5, 6) Medial cutaneous nerve of forearm(C8, T1) Thoracodorsal(middle subscapular) nerve Medial cord C5,6 臂丛的组成:C58、T1
臂丛的组成：C5—8、T1
Lumbar plexus Schema Subcostal nerve [T12 White and gray rami communicantes- Ilioinguinal nery Genitofemoral nerv ventral rami of spinal Lateral cutaneous nerve of thigh Gray rami communicant Muscular branches to psoas and iliacus muscles Femoral nerve L5 Accessory obturator nerve (often absent) Obtur ator nerve Anterior division Posterior division Lumbosacral trunk. 腰丛的组成:L1-3,L4部分
腰丛的组成：L1-3, L4部分