三叉神經(jīng)的解剖基礎(chǔ)

1、三叉神經(jīng)的解剖基礎(chǔ) 規(guī)培醫(yī)師：?jiǎn)蝿俪?新鄉(xiāng)醫(yī)學(xué)院第一附屬醫(yī)院性質(zhì)性質(zhì)混合性混合性一般軀體感覺(jué)性一般軀體感覺(jué)性頭面部皮膚及粘膜頭面部皮膚及粘膜特殊內(nèi)臟運(yùn)動(dòng)性特殊內(nèi)臟運(yùn)動(dòng)性咀嚼肌咀嚼肌三叉神經(jīng)諸感覺(jué)核三叉神經(jīng)諸感覺(jué)核 眼神經(jīng)眼神經(jīng)上頜神經(jīng)上頜神經(jīng)下頜神經(jīng)下頜神經(jīng)三叉神經(jīng)運(yùn)動(dòng)核三叉神經(jīng)運(yùn)動(dòng)核 中樞突中樞突三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)周圍突周圍突三叉神經(jīng)三叉神經(jīng) 疼溫覺(jué)的纖維疼溫覺(jué)的纖維 止于三叉神經(jīng)脊束核止于三叉神經(jīng)脊束核 觸覺(jué)的纖維觸覺(jué)的纖維 止于三叉神經(jīng)腦橋核止于三叉神經(jīng)腦橋核 三大分支三大分支 第第1 1支眼神經(jīng)支眼神經(jīng) 第第2 2支上頜神經(jīng)支上頜神經(jīng) 第第3 3支下頜神經(jīng)支下頜神經(jīng) 三叉神經(jīng)運(yùn)動(dòng)核三

2、叉神經(jīng)運(yùn)動(dòng)核三叉神經(jīng)中腦核三叉神經(jīng)中腦核三叉神經(jīng)腦橋核三叉神經(jīng)腦橋核三叉神經(jīng)脊束核三叉神經(jīng)脊束核分支：分支：1. 1. 額神經(jīng)額神經(jīng) 眶上神經(jīng)眶上神經(jīng) 滑車上神經(jīng)滑車上神經(jīng)2. 2. 淚腺神經(jīng)淚腺神經(jīng)3. 3. 鼻睫神經(jīng)鼻睫神經(jīng) 性質(zhì)性質(zhì): :一般軀體感覺(jué)性一般軀體感覺(jué)性 三叉神經(jīng)節(jié)三叉神經(jīng)節(jié) 海綿竇、眶上裂海綿竇、眶上裂 入眶入眶 眼神經(jīng)眼神經(jīng) 眶上神經(jīng)眶上神經(jīng)額神經(jīng)額神經(jīng)淚腺神經(jīng)淚腺神經(jīng)顴神經(jīng)顴神經(jīng)翼腭神經(jīng)節(jié)翼腭神經(jīng)節(jié)下頜神經(jīng)下頜神經(jīng)三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)上頜神經(jīng)上頜神經(jīng)眼神經(jīng)眼神經(jīng)腦膜支腦膜支動(dòng)眼神經(jīng)動(dòng)眼神經(jīng)視神經(jīng)視神經(jīng)滑車神經(jīng)滑車神經(jīng)滑車上神經(jīng)滑車上神經(jīng)滑車下神經(jīng)滑車下神經(jīng)鼻睫神經(jīng)鼻睫神

3、經(jīng)( (二二) )上頜神經(jīng)上頜神經(jīng)性質(zhì)性質(zhì): :一般軀體感覺(jué)性一般軀體感覺(jué)性 三叉神經(jīng)節(jié)三叉神經(jīng)節(jié) 海綿竇、圓孔、翼腭窩、眶下裂海綿竇、圓孔、翼腭窩、眶下裂 入眶入眶 分支：分支： 1. 1. 眶下神經(jīng)眶下神經(jīng) 2. 2. 上牙槽神上牙槽神經(jīng)經(jīng) 3. 3. 顴神經(jīng)顴神經(jīng) 4. 4. 翼腭神經(jīng)翼腭神經(jīng) 顴神經(jīng)顴神經(jīng)眶下神經(jīng)眶下神經(jīng) 翼腭神經(jīng)節(jié)翼腭神經(jīng)節(jié)眼神經(jīng)眼神經(jīng)上頜神經(jīng)上頜神經(jīng)三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)三叉神經(jīng)三叉神經(jīng)下頜神經(jīng)下頜神經(jīng)上牙槽神經(jīng)上牙槽神經(jīng)三叉神經(jīng)運(yùn)動(dòng)纖維三叉神經(jīng)運(yùn)動(dòng)纖維咀嚼肌、鼓膜張肌等（運(yùn)動(dòng)）咀嚼肌、鼓膜張肌等（運(yùn)動(dòng)）下頜牙、舌前下頜牙、舌前2/32/3、口裂以下皮膚（感覺(jué)）、口裂以下皮膚（感覺(jué)） 卵圓孔卵圓孔三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)( (三三) )下頜神經(jīng)下頜神經(jīng) 性質(zhì)性質(zhì): :混合性混合性 分支：分支： 1.1.耳顳神經(jīng)耳顳神經(jīng) 2.2.頰神經(jīng)頰神經(jīng) 3.3.舌神經(jīng)舌神經(jīng) 4.4.下牙槽神經(jīng)下牙槽神經(jīng) 5.5.咀嚼肌神經(jīng)咀嚼肌神經(jīng) 眼神經(jīng)眼神經(jīng)上頜神經(jīng)上頜神經(jīng)三叉神經(jīng)節(jié)三叉神經(jīng)節(jié)三叉神經(jīng)三叉神經(jīng)下頜神經(jīng)下頜神經(jīng)下牙槽神經(jīng)下牙槽神經(jīng)舌神經(jīng)舌神經(jīng)頦神經(jīng)頦神經(jīng)耳顳神經(jīng)耳顳神經(jīng)頰神經(jīng)頰神經(jīng) 頭面部皮神經(jīng)分布頭面部皮神經(jīng)分布 眼神經(jīng)眼神經(jīng)上頜神經(jīng)上