医药-肩井穴的解剖结构跟其针刺安全深度探讨.pdf

·152 · 针刺研究 　第 27 卷 　2002 年 　第 2 期 中图分类号 :R322 　文献标识码 :A 　文章编号 : 1000 - 0607( 2002) 02 - 0152 - 03 肩井穴的解剖结构与其 针刺安全深度探讨 张建华 　余安胜 　赵英侠 　毛根金 严振国　蔡国荣 　顾洪川 　魏鸿熙 　金富滋 (上海中医药大学解剖教研室 , 　上海 200032) 内容提要 　目的: 研究肩井穴的解剖结构和针刺安全深度 。方法 :随机抽样取 57 具较新鲜的成年 人尸体 ,其中男尸 24 具 ,女尸 33 具 ,采用解剖断面法和解剖层次法进行研究 。结果 : 向下直刺的 解剖结构依次是 :皮肤 、浅筋膜 、深筋膜 、斜方肌 、肩胛提肌外侧 、前锯肌 、肋间外肌 、肋间内肌 、壁胸 膜 。向下直刺的平均危险深度是 55 . 96 mm 。结论 : 为了安全 , 建议 向下直刺 的深度应控制在 39 . 17 mm之内。 关键词 　肩井穴/ 解剖学和组织学 　针刺深度 　针刺方向 Study on the Anatomic Structure and Saf e Needl ing Depth of Jianj ing ( GB 21) Point ZHANG Jianhua , 　Y U Ansheng , 　ZHAO Yingxia , 　MAO Genj in , YAN Zhenguo , 　CAI Guorong , 　GU Hongchuan , 　WEI Hongxi , 　J IN Fuzi ( Teachi ng an d R esearch S ect ion of A natomy , S hang hai Univers ity of T CM , S hang hai , 2 00032) Objective : To p robe into t he anatomic st ruct ure and safe needling dept h of J ianj ing ( GB 2 1) . Methods : Fift yseven fresher adult corp ses were randomly selected . Among t hem , 24 were male and 33 female . Anatomic sagitt al sectional and lamelled met hods were used to st udy t he anatomic st ruct ure and suit able needleinsertion dept h . Results :Anatomic st ruct ures of t he perpendicular sections in or der are skin , superficial fascia , deep fascia , t rapezius muscle , lateral p art of t he levator muscle of scap ula , serrat us anterior muscle , external interco st al muscle , internal interco st al muscle and p ariet al pleura . If t he acup unct ure needle tip penet rates t he p ariet al pleura , it will p unct ure t he lung to induce p neuma tot horax . When J ianj ing ( GB