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使用者:Heihaheihaha/生殖股神經

維基百科,自由的百科全書
生殖股神經
Plan of lumbar plexus. (Genitofemoral nerve visible at upper left.)
The lumbar plexus and its branches. (Genitofemoral nerve visible at upper left.)
基本資訊
來源Lumbar plexus
走向Lumboinguinal, genital branch
支配Cremaster muscle

Anterior scrotum in males

Mons pubis in females
標識字符
拉丁文nervus genitofemoralis
nervus genitalifemoralis
神經解剖學術語

生殖股神經genitofemoral nerve)是來自腰叢(L1-L2)前支的一混合神經,分為生殖支和股支,為大腿前上部以及男性陰囊前部皮膚和女性大陰唇前部的皮膚提供感覺神經支配。通過生殖支為提睾肌提供運動神經支配。

結構

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來源及走行

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生殖股神經是腰叢的一個分支。[1]它源自腰(脊)神經L1-L2的前支,在腰大肌內匯合後向下走行,穿過腰大肌並從其前面穿出。[2]

該神經分為兩支,即生殖支和股支[1],這兩支隨後分別向下和向內側進入腹股溝管股管

分支

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生殖支

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生殖支在腰大肌表面向下延續,然後經腹股溝管深環口進入腹股溝管。[1]在男性中,生殖支支配提睾肌並提供陰囊前2/3皮膚感覺[3]。在女性中,生殖支伴隨子宮圓韌帶終止,支配大陰唇前部的皮膚感覺。[1]

股支

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The femoral branch passes underneath the inguinal ligament, travelling through the lateral muscular compartment of the femoral sheath where it innervates skin of the upper leg. Passing through the cribriform fascia of the saphenous opening of the fascia lata of the thigh, it then supplies the skin of the upper, anterior and medial side of thigh.[1]

變異

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The genitofemoral nerve typically pierces and passes through the psoas major muscle before bifurcating into a genital branch and a femoral branch midway along its anterior surface. In approximately 25% of cases, the genitofemoral nerve splits into these branches before it enters the psoas major or within the muscle belly of psoas major (with fibers of the psoas major separating the genital and femoral branches). Usually this variation causes the split to be occur earlier in the genitofemoral nerve, at the upper rather than mid-portion of the anterior surface of the psoas major.[4]

胚胎發育

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The genitofemoral nerve is formed in the midsection of the psoas muscle by the union of branches from the anterior rami of L1 and L2 nerve roots

功能

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The genitofemoral nerve is responsible for both the sensory (femoral branch) and motor portions (genital branch) of the cremasteric reflex, which describes contraction of the cremasteric muscle when the skin of the superior medial part of the thigh is touched.[1] :262

其它圖像

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另見

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本條目使用了部分解剖術語英語anatomical terminology


參考文獻

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  1. ^ 1.0 1.1 1.2 1.3 1.4 1.5 Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul. Gray's anatomy for students Pbk. Philadelphia: Elsevier/Churchill Livingstone. 2005: 340–343. ISBN 978-0-443-06612-2. 
  2. ^ Standring, Susan. Gray's Anatomy: The Anatomical Basis of Clinical Practice 42nd. New York. 2020: 1148. ISBN 978-0-7020-7707-4. OCLC 1201341621. 
  3. ^ 張紹祥,張雅芳主編. 局部解剖学 2015年5月第3版第1次印刷. 北京: 人民衛生出版社. 2015: 269. ISBN 978-7-117-20395-1. 
  4. ^ Anloague, Phillip; Huijbregts, Peter. Anatomical Variations of the Lumbar Plexus: A Descriptive Anatomy Study with Proposed Clinical Implications. Journal of Manual and Manipulative Therapy. 2009, 17 (4): e107–14. PMC 2813498可免費查閱. PMID 20140146. doi:10.1179/106698109791352201. 

外部連結

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