局部解剖学：SECTION 2Axillary region腋区.ppt

,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,Chengchun Chen Dept of Anatomy WZMC,*,局部解剖学,jiepou,断层影像解剖,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,1,SECTION 2 Axillary region,腋区,腋窝与腋腔的区别？,腋腔的境界：四棱锥,一顶一底（腋窝）四壁,腋腔的内容,腋动脉分段及分支,腋静脉及属支和腋淋巴结的分组及回流规律,臂丛的合成（根、干、股和束）及分支,4.,目的：回顾系统解剖内容和训练外科技能,5.,乳房肿瘤腋窝淋巴结清扫的主要事项？,胸长,n,和胸背,n,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,2,Axillary cavity,：,brachial plexus,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,3,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,4,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,5,Axillary region,：,brachial plexus,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,6,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,7,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,8,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,9,前臂动脉,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,10,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,11,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,12,（,1,）胸肌淋巴结。,（,3,）外出淋巴结。,（,3,）肩胛下淋巴结。,（,4,）中央淋巴结：收纳,上述,3,群淋巴结的输出,管。,（,5,）尖淋巴结：收纳中,央淋巴结、乳房上部淋,巴管。输出管大部分组,成左右锁骨下干。,乳腺淋巴,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,13,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,14,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,15,乳腺淋巴回流途径,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,16,Axillary region,腋区,皮肤切口,处理腋窝底：皮肤、浅筋膜、观察浅,av,皮,n,处理腋腔深筋膜、观察腋,LN,及分组、保护血管神经束,钝性分离：腋鞘、筛状筋膜,结扎腋静脉主干,解剖腋动脉及分支,解剖臂丛及分支：,胸长,n,和胸北,n,观察腋腔,4,壁和顶的构成,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,17,二、体循环的 动脉,.,掌浅弓,尺动脉末端与桡动脉掌浅支构成。,.,掌深弓,桡动脉末端与尺动脉的掌深支构成。,指掌,侧总动脉,指掌侧固,有动脉,掌心动脉,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,18,2025/5/16 周五,Chengchun Chen Dept of Anatomy WZMC,19,二、体循环的 动脉,上肢的动脉,1,.,腋动脉,（,1,）,胸肩峰动脉,（,2,）肩胛下动脉：,1,）胸背动脉：背阔肌、前锯肌。,2,）旋肩胛动脉：冈下窝,(,三边孔,),。,（,3,）旋肱前动脉,（,4,）旋肱后动脉,(,四边孔,),（,5,）胸外侧动脉,