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《鼻內(nèi)鏡下經(jīng)蝶竇蝶鞍區(qū)手術(shù)中蝶竇前壁的應(yīng)用解剖》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、鼻內(nèi)鏡下經(jīng)蝶竇蝶鞍區(qū)手術(shù)中蝶竇前壁的應(yīng)用解剖514?第二軍醫(yī)2006May;27（5）AcadJSecMIlMedUniv?鼻內(nèi)鏡下經(jīng)蝶竇蝶鞍區(qū)手術(shù)中蝶竇前壁的應(yīng)用解剖9■論著？劉環(huán)海，廖建春黨瑞山，胡國漢,鄧彬華，張暉，王君玉,范靜平（1?第二軍醫(yī)大學(xué)長征醫(yī)院耳鼻咽喉科，上海200003;2.第二軍醫(yī)大學(xué)基礎(chǔ)醫(yī)學(xué)部人體解剖學(xué)教研室，上海200433）［摘要］目的:為鼻內(nèi)鏡下經(jīng)蝶竇蝶鞍區(qū)手術(shù)準(zhǔn)確尋找蝶竇口,避免損傷蝶腭動脈提供解剖學(xué)資料?方法:在15例國人頭顱標(biāo)本上,用游標(biāo)卡尺和角規(guī)對30側(cè)蝶竇前壁進(jìn)行解剖學(xué)（走行，位置，外徑以及與相關(guān)結(jié)
2、構(gòu)的距離）觀察和測量?結(jié)果:鼻小柱根部至蝶竇口下極及蝶腭孔的距離分別為（60.40?3.21,58.10?72.76)mm和(62.14±1.93,59.5O?73.40)mm;蝶腭孔至蝶竇口下極的距離為(12.20±l.lO,8.1O~16.35)mm,在蝶腭孔處蝶腭動脈的外徑為(1.99±0?13,l?50?2.80)mm;蝶竇口下極至鼻中隔后上動脈及鼻中隔后下動脈的距離分別為(3.49+0.24,2.78~5.20)mm和(6.42±1.08,4.3O~8.50)mm.結(jié)論:蝶竇口是經(jīng)蝶竇蝶鞍區(qū)手術(shù)的重要標(biāo)志;開放蝶竇時宜從蝶竇口內(nèi)
3、下方開放,以免損傷蝶腭動脈.［關(guān)鍵詞］蝶竇;蝶鞍;蝶竇口;蝶腭動脈［中圖分類號］R323?1;R765?9［文獻(xiàn)標(biāo)識碼］A［文章編號10258—879X(2006)05—0514—03AppliedanatomyofanteriorwallofsphenoidsinusfortranssphenoidalendoscopicsellasurgeryLIUHuan-har,LIAOJian-chun,DANGRui一shan.,HUGuo-han,DENGBinhua,ZHANGHuiWANGJumyu,FANJing?ping.(l.D
4、epartmentofOtorhinolaryngology,ChangzhengHospital,SecondMilitaryMedicalUniversity,Shanghai200003,China2.DepartmentofHumanAnatomy,CollegeofBasicMedicalSciences,SecondMilitaryMedicalUniversity,Shanghai200433)[-ABSTRACTJObjective:Toprovideanatomicdataforaccuratelylocalizinga
5、pertureofsphenoidalsinuswithouti-uryingsphe一nopalatinearteriesinendoscopictranssphenoidalsellasurgery.Methods:Theanteriorwallsofspheroidsinuswereobservedandmeasured(1ayout,position,externaldiamete「,distancestootherstructuresofinterest)withaverniercaliperandananglegaugeonl
6、5adultcadavers.Results:Thedistancesfromtherootofcolumellanasitotheinforiorpoleofsphenoidalsinusapertureandthesphenopalatineforamenwere(60.40±3.21,58.10一72.76)mmand(62.14±1.93,59.50—73?40)mm,respectively.Thedis—tancefromtheinforiorpolesphenoidalsinusaperturetothesphenopala
7、tineforamenwas(12.20土1.10,8.10一16.35)mm.Thediameterofthesphenopalatinearterywas(l?99±0?13,1.50一2.80)mm.Thedistancesfromtheinforiorpoleofsphenoidalsinusaperturetothesuperiorandinferiorposteriorarteryofnasalseptumwere(3.49土0.24,2.78—5.20)mmand(6.42±1.0&4.30一8.50)mm,respecti
8、vely.Conclusion:Apertureofsphenoidalsinusisanimportantmarkerinendosopictranssphenoidalsellasurge
