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锁骨下肌

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Background: Sclenus anticus syndrome is a disease caused by scalene anterior muscle edema, proliferation and spasm, lifted the first rib, resulted in scalenus muscle interspaces constriction, crushed the brachial plexus and subclavicalar A.V.

背景:前斜角肌综合征是指各种原因引起前斜角肌水肿、增生,痉挛并上提第一肋,导致斜角肌间隙狭窄,卡压穿行其间的臂丛神经及锁骨下动静脉而引起相应临床症状的疾患。

Introduce the needle into the center of the triangle formed by the two lower heads of the sternomastoid and the clavicle, aiming toward s the ipsilateral nipple.

在胸锁乳突肌下两头(胸锁乳突肌下端有两个起点,分别起自胸骨柄前面和锁骨的胸骨端,译者注)和锁骨形成的三角中心处进针,穿向同侧乳头方向。

Aspiration of the subdeltoid bursa and AC joint yielded some fluid and a small piece of white material, which demonstrated monosodium urate by polarized microscopic study.

细针抽取三角肌下滑液囊和肩峰锁骨关节得到分别得到一些液体和一小点白色物质。在极光显微镜下显现monosodium urate。

Objective To observe the results of restoration of shoulder abduction by spinal accessory nerve transfer which was sectioned infraclavicularly to repair the suprascapular nerve in avulsed brachial plexus injury .

目的观察在锁骨下水平切断副神经,移位修复肩胛上神经,恢复臂丛损伤患者肩外展功能的临床效果及对斜方肌功能的影响。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志,作者将本研究分为四个阶段:1 双盲检查100个干燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离;2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺;3 利用 CT 所获取的数据资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建,测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度;4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志,作者将本研究分为四个阶段:1 双盲检查100个乾燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离;2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺;3 利用 CT 所获取的资料资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建,测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度;4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

Its insertion was mainly composed of tendinous tissue, which was spaned by the lower trunk of brachial plexus.

小斜角肌的血供有2种类型:(1)从锁骨下动脉直接发出的分支,占63%;(2)来自颈深动脉的分支。

Basing on the setup of animal model of root avulsion of the brachial plexus, we divided the experimental animal into four groups by the operative method: Group A: one end of the maternal nerve graft was connected with the upper trunk of the healthy side by end-to-side neurorrhaphy, and the other end was sutured to the distal stump of musculocutaneous nerve infraclevicularly by end-to-end neurorrhaphy. Goup B: on the healthy side, the operation was the same, the other end was sutured to the distal end of C〓 by end-to-end neurorrhaphy on the affected side. Group C: the maternal nerve graft bridged the phrenic nerve and infraclevicular musculocutaneous nerve of the affected side by end-to-end neurorrhaphy. Group D: the phrenic nerve was sutured to the distal end of C〓 supraclevicularly by end-to-end neurorrhaphy.

在构建了模拟小儿臂丛神经根性撕脱伤的动物模型基础上,将实验动物按手术方式分组如下,A组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨下肌皮神经远端行端端吻合。B组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨上颈〓远端行端端吻合。C组:母鼠提供的的神经移植体桥接于子鼠患侧膈神经与锁骨下肌皮神经之间。D组:子鼠患侧膈神经直接与锁骨上颈〓远端行端端吻合。

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