颈段胸导管的临床应用解剖研究  

A study of clinical applied anatomy of cervical part of thoracic duct

作　　者：王圣应[1] 王震寰[2] 张荣新[1] 

机构地区：[1]安徽省肿瘤医院外科,蚌埠233004 [2]安徽省蚌埠医学院临床应用解剖研究所,233004

出　　处：《淮海医药》2000年第4期241-242,共2页Journal of Huaihai Medicine

基　　金：本项目获安徽省蚌埠市1999年科技进步一等奖

摘　　要：目的探讨颈段胸导管解剖位置与颈静脉角三角区的关系。方法　应用临床手术入路途径，解剖观察１１具成人尸体，测量并记录胸导管颈段的相关数据。结果　胸导管颈段从颈血管鞘后外侧到入静脉的行程情况：①形状：斜型占４５．５％，低斜型占２７．３％；②干数：单干占６３．６％，双干２７．３％；③注入部位：止于左静脉角及锁骨下静脉均为 ４５．５％，但后者止点距左静脉角 ０．３～２．１ｃｍ，胸导管与颈血管鞘后外侧交点到左静脉角为 ０．４～２． ６ ｃｍ，而肩胛舌骨肌与颈血管鞘交点到静脉角距离为３．４～５．０ｃｍ。结论　颈段胸导管从颈血管鞘后外侧到注入静脉的行程为斜型、无弓，均包含在颈静脉角三角区内。Objective To investigate the relationship between the anatomic position of cervical part of thoracic duct and jugular venous trigone. Methods Eleven adult cadavers were anatomically observed by clinical operational approach. The related data of cervical part of thoracic duct was measured and recorded. Results The route of cervical part of thoracic duct are as fellows: ①shape: the oblique type and low-obique type are 45. 5% and 27. 3%,respectively ;②the number of stem: the single stem and double stem are 63. 6% and 27. 3%,respectively ; and ③the position of infusion :both left venous angle and subclavian vein are 45. 5%. The distance from subclavian vein terminal point to left venous angle is 0. 3-2. 1 cm,the distance from the point of intersection of thoracic duct and posterolateral cervival vagina vasorum to left venous angle is 0. 4-2. 6 .cm,and the point from cervical vagina vasorum to venous angle is 3. 4-5. 0 cm. Conclusion The cervical part of thoracic duct infuses vein from posterolateral cervical vagina vasorum by the route in oblique-shaped and non-arched,which are contained in jugular venous trigone.

关 键 词：颈段胸导管 左静脉角 颈静脉三角区 临床解剖 

分 类 号：R323.1[医药卫生—人体解剖和组织胚胎学]