口腔頜面血管神經(jīng)課件

第8章面頸部血管程杰南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院口外教研室2011-05-26口腔頜面血管神經(jīng)第8章面頸部血管程杰南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院口外教研室2011-05-26第一節(jié)動脈令面頸部頸總動脈頸外動脈口腔頜面部頸內(nèi)動脈腦前3/5鎖骨下動脈頸部下份腦后2/5頸內(nèi)、外動脈鎖骨下動脈血管吻合→面頸部血運豐富南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸總動脈commoncarotidarter左側(cè):主動脈弓右側(cè):頭臂干心甲狀軟骨上緣分為頸內(nèi)動脈、頸外動脈頸鞘內(nèi)頸總/內(nèi)動脈頸內(nèi)靜脈迷走神經(jīng)內(nèi)外后令頸內(nèi)外動脈鑒別:有無分支南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院第8章面頸部血管口腔頜面血管神經(jīng)第8章面頸部血管1第一節(jié)動脈令面頸部頸總動脈頸外動脈口腔頜面部頸內(nèi)動脈腦前3/5鎖骨下動脈頸部下份腦后2/5頸內(nèi)、外動脈鎖骨下動脈血管吻合→面頸部血運豐富南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院第一節(jié)動脈2頸總動脈commoncarotidarter左側(cè):主動脈弓右側(cè):頭臂干心甲狀軟骨上緣分為頸內(nèi)動脈、頸外動脈頸鞘內(nèi)頸總/內(nèi)動脈頸內(nèi)靜脈迷走神經(jīng)內(nèi)外后令頸內(nèi)外動脈鑒別:有無分支南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸總動脈commoncarotidarter3BasilarLeftRightinternalinternalandandexternaexternacarotidcarotidVertebralRightcommoncarotidLeftcommoncarotidTAorticarchBasilar4InternalCarotidarteryCarotidbifurcationExternalCarotidarteryCommonCarotidarteryInternalCarotidartery5頸動脈竇&頸動脈體頸動脈竇carotidsinus頸內(nèi)動脈起始或頸總動脈分叉處壓力感受器動脈壓反射性心率末梢血管擴張血壓下降頸動脈竇綜合征令頸動脈體carotidbody頸總動脈分叉處化學(xué)感受器血液中CO2含量呼吸南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸動脈竇&頸動脈體6頸外動脈externalcarotidartery起自頸總動脈今經(jīng)二腹肌后腹和莖突舌骨肌深面穿腮腺至髁突頸部InternalCarotidarteryExternalCarotidartertidartery南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸外動脈externalcarotidartery7頸外動脈分支前壁及終末支5個分支,從下到上甲狀腺上動脈舌動脈面動脈上頜動脈8大分支顳淺動脈后壁發(fā)出2個分支枕動脈耳后動脈內(nèi)側(cè)壁發(fā)出1個分支咽升動脈南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸外動脈分支8PosteriorauriculararterySuperficialtemporalarteryOccipitalarteryMaxillaryarteryInternalcarotidarteryFacialarteryExternalcarotidarteryLingualarteryCarotidsinusSuperiorthyroidarteryVertebralarterySubclavianarteryCommonBrachiocephaliccarotidarteryarteryThyrocervicaltrunkInternalthoracicarteryPosterior9ralarteryMastoidprocecleidomastoidPosteriorauriculararteleidomastoidbranchLing№lohyoidmuscleInferiorrootansaupeniorrootansaralartery10口腔頜面血管神經(jīng)課件11口腔頜面血管神經(jīng)課件12口腔頜面血管神經(jīng)課件13口腔頜面血管神經(jīng)課件14口腔頜面血管神經(jīng)課件15口腔頜面血管神經(jīng)課件16口腔頜面血管神經(jīng)課件17口腔頜面血管神經(jīng)課件18口腔頜面血管神經(jīng)課件19口腔頜面血管神經(jīng)課件20口腔頜面血管神經(jīng)課件21口腔頜面血管神經(jīng)課件22口腔頜面血管神經(jīng)課件23口腔頜面血管神經(jīng)課件24口腔頜面血管神經(jīng)課件25口腔頜面血管神經(jīng)課件26口腔頜面血管神經(jīng)課件27口腔頜面血管神經(jīng)課件28口腔頜面血管神經(jīng)課件29口腔頜面血管神經(jīng)課件30口腔頜面血管神經(jīng)課件31口腔頜面血管神經(jīng)課件32口腔頜面血管神經(jīng)課件33口腔頜面血管神經(jīng)課件34口腔頜面血管神經(jīng)課件35口腔頜面血管神經(jīng)課件36口腔頜面血管神經(jīng)課件37口腔頜面血管神經(jīng)課件38口腔頜面血管神經(jīng)課件39口腔頜面血管神經(jīng)課件40口腔頜面血管神經(jīng)課件41口腔頜面血管神經(jīng)課件42口腔頜面血管神經(jīng)課件43口腔頜面血管神經(jīng)課件44口腔頜面血管神經(jīng)課件45口腔頜面血管神經(jīng)課件46口腔頜面血管神經(jīng)課件47口腔頜面血管神經(jīng)課件48口腔頜面血管神經(jīng)課件49口腔頜面血管神經(jīng)課件50口腔頜面血管神經(jīng)課件51口腔頜面血管神經(jīng)課件52口腔頜面血管神經(jīng)課件53口腔頜面血管神經(jīng)課件54口腔頜面血管神經(jīng)課件55口腔頜面血管神經(jīng)課件56口腔頜面血管神經(jīng)課件57口腔頜面血管神經(jīng)課件58口腔頜面血管神經(jīng)課件59口腔頜面血管神經(jīng)課件60口腔頜面血管神經(jīng)課件61口腔頜面血管神經(jīng)課件62口腔頜面血管神經(jīng)課件63口腔頜面血管神經(jīng)課件64口腔頜面血管神經(jīng)課件65口腔頜面血管神經(jīng)課件66口腔頜面血管神經(jīng)課件67口腔頜面血管神經(jīng)課件68口腔頜面血管神經(jīng)課件69口腔頜面血管神經(jīng)課件70口腔頜面血管神經(jīng)課件71口腔頜面血管神經(jīng)課件72口腔頜面血管神經(jīng)課件73口腔頜面血管神經(jīng)課件74口腔頜面血管神經(jīng)課件75口腔頜面血管神經(jīng)課件76口腔頜面血管神經(jīng)課件77口腔頜面血管神經(jīng)課件78口腔頜面血管神經(jīng)課件79口腔頜面血管神經(jīng)課件80口腔頜面血管神經(jīng)課件81口腔頜面血管神經(jīng)課件82口腔頜面血管神經(jīng)課件83口腔頜面血管神經(jīng)課件84口腔頜面血管神經(jīng)課件85口腔頜面血管神經(jīng)課件86口腔頜面血管神經(jīng)課件87口腔頜面血管神經(jīng)課件88口腔頜面血管神經(jīng)課件89口腔頜面血管神經(jīng)課件90口腔頜面血管神經(jīng)課件91口腔頜面血管神經(jīng)課件92口腔頜面血管神經(jīng)課件93口腔頜面血管神經(jīng)課件94口腔頜面血管神經(jīng)課件95口腔頜面血管神經(jīng)課件96口腔頜面血管神經(jīng)課件97口腔頜面血管神經(jīng)課件98口腔頜面血管神經(jīng)課件99口腔頜面血管神經(jīng)課件100口腔頜面血管神經(jīng)課件101口腔頜面血管神經(jīng)課件102口腔頜面血管神經(jīng)課件103口腔頜面血管神經(jīng)課件104口腔頜面血管神經(jīng)課件105口腔頜面血管神經(jīng)課件106第8章面頸部血管程杰南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院口外教研室2011-05-26口腔頜面血管神經(jīng)第8章面頸部血管程杰南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院口外教研室2011-05-26第一節(jié)動脈令面頸部頸總動脈頸外動脈口腔頜面部頸內(nèi)動脈腦前3/5鎖骨下動脈頸部下份腦后2/5頸內(nèi)、外動脈鎖骨下動脈血管吻合→面頸部血運豐富南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸總動脈commoncarotidarter左側(cè):主動脈弓右側(cè):頭臂干心甲狀軟骨上緣分為頸內(nèi)動脈、頸外動脈頸鞘內(nèi)頸總/內(nèi)動脈頸內(nèi)靜脈迷走神經(jīng)內(nèi)外后令頸內(nèi)外動脈鑒別:有無分支南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院第8章面頸部血管口腔頜面血管神經(jīng)第8章面頸部血管107第一節(jié)動脈令面頸部頸總動脈頸外動脈口腔頜面部頸內(nèi)動脈腦前3/5鎖骨下動脈頸部下份腦后2/5頸內(nèi)、外動脈鎖骨下動脈血管吻合→面頸部血運豐富南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院第一節(jié)動脈108頸總動脈commoncarotidarter左側(cè):主動脈弓右側(cè):頭臂干心甲狀軟骨上緣分為頸內(nèi)動脈、頸外動脈頸鞘內(nèi)頸總/內(nèi)動脈頸內(nèi)靜脈迷走神經(jīng)內(nèi)外后令頸內(nèi)外動脈鑒別:有無分支南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸總動脈commoncarotidarter109BasilarLeftRightinternalinternalandandexternaexternacarotidcarotidVertebralRightcommoncarotidLeftcommoncarotidTAorticarchBasilar110InternalCarotidarteryCarotidbifurcationExternalCarotidarteryCommonCarotidarteryInternalCarotidartery111頸動脈竇&頸動脈體頸動脈竇carotidsinus頸內(nèi)動脈起始或頸總動脈分叉處壓力感受器動脈壓反射性心率末梢血管擴張血壓下降頸動脈竇綜合征令頸動脈體carotidbody頸總動脈分叉處化學(xué)感受器血液中CO2含量呼吸南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸動脈竇&頸動脈體112頸外動脈externalcarotidartery起自頸總動脈今經(jīng)二腹肌后腹和莖突舌骨肌深面穿腮腺至髁突頸部InternalCarotidarteryExternalCarotidartertidartery南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸外動脈externalcarotidartery113頸外動脈分支前壁及終末支5個分支,從下到上甲狀腺上動脈舌動脈面動脈上頜動脈8大分支顳淺動脈后壁發(fā)出2個分支枕動脈耳后動脈內(nèi)側(cè)壁發(fā)出1個分支咽升動脈南京醫(yī)科大學(xué)口腔醫(yī)學(xué)院頸外動脈分支114PosteriorauriculararterySuperficialtemporalarteryOccipitalarteryMaxillaryarteryInternalcarotidarteryFacialarteryExternalcarotidarteryLingualarteryCarotidsinusSuperiorthyroidarteryVertebralarterySubclavianarteryCommonBrachiocephaliccarotidarteryarteryThyrocervicaltrunkInternalthoracicarteryPosterior115ralarteryMastoidprocecleidomastoidPosteriorauriculararteleidomastoidbranchLing№lohyoidmuscleInferiorrootansaupeniorrootansaralartery116口腔頜面血管神經(jīng)課件117口腔頜面血管神經(jīng)課件118口腔頜面血管神經(jīng)課件119口腔頜面血管神經(jīng)課件120口腔頜面血管神經(jīng)課件121口腔頜面血管神經(jīng)課件122口腔頜面血管神經(jīng)課件123口腔頜面血管神經(jīng)課件124口腔頜面血管神經(jīng)課件125口腔頜面血管神經(jīng)課件126口腔頜面血管神經(jīng)課件127口腔頜面血管神經(jīng)課件128口腔頜面血管神經(jīng)課件129口腔頜面血管神經(jīng)課件130口腔頜面血管神經(jīng)課件131口腔頜面血管神經(jīng)課件132口腔頜面血管神經(jīng)課件133口腔頜面血管神經(jīng)課件134口腔頜面血管神經(jīng)課件135口腔頜面血管神經(jīng)課件136口腔頜面血管神經(jīng)課件137口腔頜面血管神經(jīng)課件138口腔頜面血管神經(jīng)課件139口腔頜面血管神經(jīng)課件140口腔頜面血管神經(jīng)課件141口腔頜面血管神經(jīng)課件142口腔頜面血管神經(jīng)課件143口腔頜面血管神經(jīng)課件144口腔頜面血管神經(jīng)課件145口腔頜面血管神經(jīng)課件146口腔頜面血管神經(jīng)課件147口腔頜面血管神經(jīng)課件148口腔頜面血管神經(jīng)課件149口腔頜面血管神經(jīng)課件150口腔頜面血管神經(jīng)課件151口腔頜面血管神經(jīng)課件152口腔頜面血管神經(jīng)課件153口腔頜面血管神經(jīng)課件154口腔頜面血管神經(jīng)課件155口腔頜面血管神經(jīng)課件156口腔頜面血管神經(jīng)課件157口腔頜面血管神經(jīng)課件158口腔頜面血管神經(jīng)課件159口腔頜面血管神經(jīng)課件160口腔頜面血管神經(jīng)課件161口腔頜面血管神經(jīng)課件162口腔頜面血管神經(jīng)課件163口腔頜面血管神經(jīng)課件164口腔頜面血管神經(jīng)課件165口腔頜面血管神經(jīng)課件166口腔頜面血管神經(jīng)課件167口腔頜面血管神經(jīng)課件168口腔頜面血管神經(jīng)課件169口腔頜面血管神經(jīng)課件170口腔頜面