| 乙状窦后锁孔入路的内镜和显微镜下解剖学研究及临床应用 |
| |
| 引用本文： | 冯洪涛,赵冬,刘祺,袁磊,姬云翔,王业忠.乙状窦后锁孔入路的内镜和显微镜下解剖学研究及临床应用[J].现代生物医学进展,2010,10(4). |
| |
| 作者姓名： | 冯洪涛 赵冬 刘祺 袁磊 姬云翔 王业忠 |
| |
| 作者单位： | 石河子大学医学院第一附属医院神经外科,新疆,石河子,832000 |
| |
| 基金项目： | 新疆建设兵团医药卫生专项(2008GG33) |
| |
| 摘 要： | 目的:通过乙状窦后锁孔入路对该区周围进行内镜和显微解剖学观察,为临床该手术入路定位提供解剖学及形态学依据。方法:应用10%甲醛溶液充分固定的成人尸头标本8例(16侧),模拟乙状窦后锁孔入路进行内镜和显微解剖学观察,并测量尸头表面标志点位置关系,确定枕下乙状窦后锁孔位置。结果:1:锁孔位置为取耳后旁4cm以上项线为上点∫形切口3.0cm～4.0cm。暴露星点后在其下方骨孔直径2.0～2.5cm,可以充分暴露桥小脑角区。2:该锁孔入路虽然通道窄小,但利用内镜和显微镜暴露范围较广,可达中上斜坡。结论:熟悉桥小脑角区神经血管解剖结构的毗邻关系,准确到达解剖目标,有助于在显露血管和神经的同时保护脑组织的重要结构,减小创伤,内镜的应用能把手术中的副损伤降低到最低点。
|
| 关 键 词： | 桥小脑角 锁孔入路 显微解剖 神经内镜 |
Observation of micro-anatomic structure of cerebellopontine angle under endoscope and microscope:Via retrosigmoid keyhole approach |
| |
| FENG Hong-tao,ZHAO Dong,LIU Qi,YUAN Lei,JI Yun-xiang,WANG Ye-zhong.Observation of micro-anatomic structure of cerebellopontine angle under endoscope and microscope:Via retrosigmoid keyhole approach[J].Progress in Modern Biomedicine,2010,10(4). |
| |
| Authors: | FENG Hong-tao ZHAO Dong LIU Qi YUAN Lei JI Yun-xiang WANG Ye-zhong |
| |
| Institution: | FENG Hong-tao,ZHAO Dong,LIU Qi,YUAN Lei,JI Yun-xiang,WANG Ye-zhong (Department of Neurosurgery,the First Affiliated Hospital,Medical School of Shihezi University,Xinjiang Shihezi 832008,China) |
| |
| Abstract: | Objective: To observe micro-anatomic structure of cerebellopontine angle(CPA)in posterior skull base via suboccipital-retrosigmoid keyhole approach, then provide an anatomic basis and a morphologic basis for surgical localization. Methods: 8 adult skulls of 16 sides were used to observe and measure the spatial relationship between the bone marks and definite the most appropriate location of the suboccipital-retrosigmoid keyhole;8 formalin-fixed adult cadaveric heads of 16 sideswere used for simulating suboc... |
| |
| Keywords: | Cerebellopontine angle(CPA) keyhole approach Microanatomy Neuro-endoscope |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
