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1. 重庆医科大学临床学院神经内科
2. 遵义医学院解剖学教研室
3. 重庆医科大学临床学院神经内科,重庆,400016
4. ,贵州,遵义,563003
纸质出版日期:2003,
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[1]李平,薛黔,谢鹏.胸大肌的肌内神经分支分布和肌构筑特征及其临床应用[J].重庆医科大学学报,2003(06):766-768.
LI Ping, et al. The innervation,muscle architecture and their clinical application in pectoralis major[J]. Journal of Chongqing Medical University, 2003,(6):766-768.
[1]李平,薛黔,谢鹏.胸大肌的肌内神经分支分布和肌构筑特征及其临床应用[J].重庆医科大学学报,2003(06):766-768. DOI: 10.13406/j.cnki.cyxb.2003.06.024.
LI Ping, et al. The innervation,muscle architecture and their clinical application in pectoralis major[J]. Journal of Chongqing Medical University, 2003,(6):766-768. DOI: 10.13406/j.cnki.cyxb.2003.06.024.
目的 :为胸大肌肌移植的临床应用提供解剖学依据。方法 :解剖并观察测量人胸大肌的肌内神经分支分布及肌构筑特征。结果 :1.胸大肌锁骨部和胸肋部各有单独的神经支配
胸肋部各肌齿均有细长的神经分支分布。 2 .胸大肌锁骨部肌重4 5 .9± 10 .8g
肌长 18.5± 2 .1cm
肌纤维长 10 .7± 1.4cm
生理横切面积 4 .1± 1.1cm2 ;胸肋部上述指数分别为 2 2 0 .4± 4 4 .3g
2 1.4± 1.6cm
17.2± 2 .6cm
12 .4± 3.1cm2 。结论 :1.胸大肌锁骨部和胸肋部两个肌亚部
可单独取材用于肌移植
也可按肌齿 (条 )取材。 2 .胸大肌胸肋部产生的肌力是锁骨部的 3倍
位移幅度是锁骨部的 1.6倍左右。
Objective:To provide anatomical basis for clinical application of human pectoralis major (P.major).Methods:The intramuscular nerve branches and muscle architectural features of P.major were dissected and observed.Results:1.The clavicular part(clavic.part) and sternal part of P.major had their anatomically distinct nerve supply.Some final terminal branches went along their course to each muscle slip.2.The average muscle mass
muscle length
fiber length and cross sectional area of the clavic.part of P.major were 45.9±10.8g
18.5±2.1cm
10.7±1.4cm and 4.1±1.1cm2
respectively and those of sternal part of P.major were 220.4±44.3g
21.4±1.6cm
17.2±2.6cm
12.4±3.1cm2
respectively.Conclusion:1.P.major could be divided into clavic.part and sternal part compartments according to the intramuscular nerve branches.2.The force produced by sternal part is 3 times as much as the clavic.part and the excursion produced by the former is 1.6 times as much as the latter.The two compartrnents of P.major could be used for muscle transplant respectively
so could each muscle slip.
胸大肌肌内神经分支肌构筑肌移植
Pectoralis majorIntramuscular nerve branchesMuscle architectureMuscle transplant
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