上颈性眩晕发生的颈交感神经及第2颈神经的解剖学因素观察

doi:10.13418/j.issn.1001-165x.2022.1.01

中国临床解剖学杂志 ›› 2022, Vol. 40 ›› Issue (1): 1-3.doi: 10.13418/j.issn.1001-165x.2022.1.01

• 应用解剖 • 下一篇

上颈性眩晕发生的颈交感神经及第2颈神经的解剖学因素观察

宋占锋¹，吴占勇¹，叶启彬²，陆志方³

1.华北医疗健康集团邢台总医院，河北邢台 054000； 2.北京协和医院，北京 100730；
3.苏州大学医学部博习临床解剖学研究所暨解剖学教研室，江苏苏州 215213

收稿日期:2020-05-07 出版日期:2022-01-25 发布日期:2022-01-18
作者简介:宋占锋（1971-），男，河北邢台人，副主任医师，硕士，主要从事骨科及临床解剖学研究，E-mail：songzhanfengxt@163.com
基金资助:
河北省重点研发计划（182777172）

Study on the anatomical factors of cervical sympathetic nerve and second cervical nerve in the occurrence of upper cervical vertigo

Song Zhanfeng¹, Wu Zhanyong¹, Ye Qibin², Lu Zhifang³

1.North China Medical & Health Group Xingtai General Hospital, Xingtai 054000, Hebei Province, China; 2. Peking Union Medical College Hospital, Beijing 100730, China; 3. Boxi Institute of Clinical Anatomy & Department of Anatomy, Medical College of Soochow University, Suzhou 215123, Jiangsu Province, China

Received:2020-05-07 Online:2022-01-25 Published:2022-01-18

摘要/Abstract

摘要： 目的明确颈上神经节（superior cervical ganglion，SCG）与第2颈神经及椎动脉的解剖关系，为临床诊治上颈性眩晕提供形态学基础。方法解剖15具（30侧）成人尸体标本，观察颈上神经节与C2的交通支及至椎动脉的分支。结果 5侧未见SCG与C2之间存在神经连接；25侧存在神经连接，其中18侧存在迷走神经参与，7侧可见SCG分支支配椎动脉。SCG分支与C2前支汇合后，交感神经纤维分别至C2前、后支及椎动脉。结论 SCG与C2的交通支及其对椎动脉的支配关系，可为阐明上颈性眩晕发病机理及建立有效治疗方案提供重要解剖学依据。

关键词: 颈性眩晕； , , 颈上神经节； , , 第2颈神经； , , 椎动脉； , , 解剖学因素

Abstract: Objective To demonstrate the anatomical relationship between superior cervical ganglion (SCG) and second cervical nerve (C2) and the innervated branch from SCG to vertebral artery, for providing anatomical basis for the clinical diagnosis of the upper cervical vertigo. Methods Fifteen adult cadavers (total 30 sides) were dissected to observe the communicating branches of SCG with C2 and the branches of the vertebral artery. Results There was no neural connection between SCG and C2 in 5 sides. There were neural connection between SCG and C2 in the remaining 25 sides, of which the vagus nerves were involved in 18 sides. The innervated branches were found from SCG to vertebral artery in 7 sides. After the SCG branch merged with the anterior branch of C2, the sympathetic nerve fibers were transferred to the anterior and posterior branches of C2 and the vertebral artery respectively. Conclusions The communicating branches of SCG and C2 and their dominant relationship to the vertebral artery can provide important anatomical basis for elucidating the pathogenesis of upper cervical vertigo and establishing effective treatment plan.

Key words: Cervical vertigo; , , Superior cervical ganglion; , , Second cervical nerve; , , Vertebral artery, Anatomical factor

中图分类号:

R323.1

宋占锋, 吴占勇, 叶启彬, 陆志方. 上颈性眩晕发生的颈交感神经及第2颈神经的解剖学因素观察[J]. 中国临床解剖学杂志, 2022, 40(1): 1-3.

Song Zhanfeng, Wu Zhanyong, Ye Qibin, Lu Zhifang. Study on the anatomical factors of cervical sympathetic nerve and second cervical nerve in the occurrence of upper cervical vertigo[J]. Chinese Journal of Clinical Anatomy, 2022, 40(1): 1-3.

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上颈性眩晕发生的颈交感神经及第2颈神经的解剖学因素观察

Study on the anatomical factors of cervical sympathetic nerve and second cervical nerve in the occurrence of upper cervical vertigo

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