翳风穴的形态学特征及其临床意义  

Morphological characteristics and clinical significance of Yifeng (TE 17)

作　　者：姜雪梅[1] 高彦平[2] 黄泳[1] 

机构地区：[1]南方医科大学中医系针灸科,广州510515 [2]南方医科大学中医系骨伤科,广州510515

出　　处：《中国针灸》2005年第11期781-783,共3页Chinese Acupuncture & Moxibustion

基　　金：卫生部科教司资助课题:05-V1-31

摘　　要：目的:探讨翳风穴的解剖层次和针刺深度,为临床治疗和并发症的预防提供解剖学依据。方法:随机抽取新鲜的成人尸体标本15具,其中男尸10具,女尸5具。采用层次解剖法,逐层解剖并观察穴区解剖结构及神经血管毗邻关系。结果:翳风穴前为下颌髁突后缘,后为胸锁乳突肌腱膜及乳突前缘,向下直刺结构依次是皮肤、浅筋膜、腮腺后缘、颞下窝静脉丛,浅层布有耳大神经分支和颈外静脉,深层有枕动脉、上颌动静脉分支、翼静脉丛、颈动脉鞘和面神经、下颌神经。平均危险深度为(35.52±6.31)mm。结论:翳风穴周围有较重要的神经、血管分布,临床操作时应注意。Objective To study on the anatomical layers and depth of Yifeng （TE 17） so as to provide anatomical basis for clinical treatment. Methods Fifteen fresh adult corpse samples, 10 males and 5 females, were randomly taken for investigating the anatomical structures and nerve-blood vessel relationship at the acupolnt area of Yifeng （TE 17） with layer anatomical method layer by layer. Results Anterior of Yifeng （TE 17） is posterior border of condyllon, the part backward is the aponeurosls of sternocleidomastoid muscle and anterior border of papillary. Structures of this point are skin, subcutaneous fascia, the posterior border of parotid, venous plexus of infratempo- ral fossa in turn. And the ,superficial layer of the point are the branches of great auricular nerve and external jugular vein. The structures of the deep layer are occipital artery, branches of upper jaw＇s artery and vein, pterygoid venous plexus and facial nerve, mandibular nerve. The average dangerous depth is （35.52±6.31） mm. Conclusion There are important nerves and blood vessels around Yifeng （TE 17）, which should be noted in acupuncture.

关 键 词：穴 翳风/解剖学和组织学 针剌深度 

分 类 号：R224.2[医药卫生—中医基础理论]