中国组织工程研究与临床康复
中國組織工程研究與臨床康複
중국조직공정연구여림상강복
JOURNAL OF CLINICAL REHABILITATIVE TISSUE ENGINEERING RESEARCH
2007年
32期
6513-6516
,共4页
刘卫华%李鑫%马大军%刘亚国%王伦安
劉衛華%李鑫%馬大軍%劉亞國%王倫安
류위화%리흠%마대군%류아국%왕륜안
颅骨%翼腭窝%断层解剖%冠状面%水平面
顱骨%翼腭窩%斷層解剖%冠狀麵%水平麵
로골%익악와%단층해부%관상면%수평면
背景:目前国内外学者对骨性翼腭窝局部解剖学和影像学作了一些研究,而有关骨性翼腭窝的断层解剖学研究尚缺乏.目的:在成人颅骨标本的冠状面和水平面上测量翼腭窝的有关孔距和径抖值,观察翼腭窝在相应切面上的形态.设计:重复测量设计.单位:成都医学院科研处.材料:实验于2006-03/2006-11在成都医学院人体解剖学教研室局部解剖实验室完成.选取中国成人完整无损干性颅骨30例(60侧),未分年龄、性别.方法:对30个(60侧)成人干性颅骨标本左右两侧的翼腭窝进行切片,其中15个行冠状面切片,另15个行水平面切片,观察测量翼腭窝在相应层面的形态和有关孔距和径值,并对所得结果进行统计学分析.主要观察指标:①在冠状面上测量:眶圆距(眶下裂最低处与圆孔中心之间的距离);圆翼距Ⅰ(圆孔与翼管中心之间的上下垂直间距);圆翼距Ⅱ(圆孔出现处与翼管出现处之间的距离).②在水平面上测量:前后径(每层面上与腭骨垂直板相平行的翼腭窝前后壁间距最大值);左右径(每层面上腭骨垂直板中点至翼腭窝前壁最外后突出处和翼腭窝后壁最前外突处连线的中点之距离).③分别在冠状面、水平面上观察:各层面上翼腭窝的形态.结果:①冠状面上,左右两侧翼腭窝的第1～6层70%(21侧)呈斜倒梯形,30%(9侧)呈斜四边形,第7～10层均表现为管形.右侧眶圆距平均值为(5.0±2.7)mm,左侧眶圆距平均值为(5.3±2.1)mm;右侧圆翼距Ⅰ平均值为(6.4±3.9)mm,左侧圆翼距Ⅰ平均值为(6.1±4.3)mm;右侧圆翼距Ⅱ平均值为(7.3±2.6)mm,左侧圆翼距Ⅱ平均值为(7.5±2.1)mm.②水平面上,左右两侧翼腭窝第一二层其前、后壁主要表现为凸面均向后的双弧形80%(24侧);第三四层主要表现为凸面相对的双弧形约66.7%(20侧);第五六层主要表现为管形60%(18侧);第7～10层则全部表现为管形.水平面上,第1～6层翼腭窝左右径大于前后径,第7～10层翼腭窝左右径约等于前后径.左右两侧样本间翼腭窝各层面径值差异不明显(P＞0.05).结论:骨性翼腭窝断层解剖学研究弥补了对其局部解剖的局限,为翼腭窝影像学及相关外科手术提供了可靠的解剖学依据.
揹景:目前國內外學者對骨性翼腭窩跼部解剖學和影像學作瞭一些研究,而有關骨性翼腭窩的斷層解剖學研究尚缺乏.目的:在成人顱骨標本的冠狀麵和水平麵上測量翼腭窩的有關孔距和徑抖值,觀察翼腭窩在相應切麵上的形態.設計:重複測量設計.單位:成都醫學院科研處.材料:實驗于2006-03/2006-11在成都醫學院人體解剖學教研室跼部解剖實驗室完成.選取中國成人完整無損榦性顱骨30例(60側),未分年齡、性彆.方法:對30箇(60側)成人榦性顱骨標本左右兩側的翼腭窩進行切片,其中15箇行冠狀麵切片,另15箇行水平麵切片,觀察測量翼腭窩在相應層麵的形態和有關孔距和徑值,併對所得結果進行統計學分析.主要觀察指標:①在冠狀麵上測量:眶圓距(眶下裂最低處與圓孔中心之間的距離);圓翼距Ⅰ(圓孔與翼管中心之間的上下垂直間距);圓翼距Ⅱ(圓孔齣現處與翼管齣現處之間的距離).②在水平麵上測量:前後徑(每層麵上與腭骨垂直闆相平行的翼腭窩前後壁間距最大值);左右徑(每層麵上腭骨垂直闆中點至翼腭窩前壁最外後突齣處和翼腭窩後壁最前外突處連線的中點之距離).③分彆在冠狀麵、水平麵上觀察:各層麵上翼腭窩的形態.結果:①冠狀麵上,左右兩側翼腭窩的第1～6層70%(21側)呈斜倒梯形,30%(9側)呈斜四邊形,第7～10層均錶現為管形.右側眶圓距平均值為(5.0±2.7)mm,左側眶圓距平均值為(5.3±2.1)mm;右側圓翼距Ⅰ平均值為(6.4±3.9)mm,左側圓翼距Ⅰ平均值為(6.1±4.3)mm;右側圓翼距Ⅱ平均值為(7.3±2.6)mm,左側圓翼距Ⅱ平均值為(7.5±2.1)mm.②水平麵上,左右兩側翼腭窩第一二層其前、後壁主要錶現為凸麵均嚮後的雙弧形80%(24側);第三四層主要錶現為凸麵相對的雙弧形約66.7%(20側);第五六層主要錶現為管形60%(18側);第7～10層則全部錶現為管形.水平麵上,第1～6層翼腭窩左右徑大于前後徑,第7～10層翼腭窩左右徑約等于前後徑.左右兩側樣本間翼腭窩各層麵徑值差異不明顯(P＞0.05).結論:骨性翼腭窩斷層解剖學研究瀰補瞭對其跼部解剖的跼限,為翼腭窩影像學及相關外科手術提供瞭可靠的解剖學依據.
배경:목전국내외학자대골성익악와국부해부학화영상학작료일사연구,이유관골성익악와적단층해부학연구상결핍.목적:재성인로골표본적관상면화수평면상측량익악와적유관공거화경두치,관찰익악와재상응절면상적형태.설계:중복측량설계.단위:성도의학원과연처.재료:실험우2006-03/2006-11재성도의학원인체해부학교연실국부해부실험실완성.선취중국성인완정무손간성로골30례(60측),미분년령、성별.방법:대30개(60측)성인간성로골표본좌우량측적익악와진행절편,기중15개행관상면절편,령15개행수평면절편,관찰측량익악와재상응층면적형태화유관공거화경치,병대소득결과진행통계학분석.주요관찰지표:①재관상면상측량:광원거(광하렬최저처여원공중심지간적거리);원익거Ⅰ(원공여익관중심지간적상하수직간거);원익거Ⅱ(원공출현처여익관출현처지간적거리).②재수평면상측량:전후경(매층면상여악골수직판상평행적익악와전후벽간거최대치);좌우경(매층면상악골수직판중점지익악와전벽최외후돌출처화익악와후벽최전외돌처련선적중점지거리).③분별재관상면、수평면상관찰:각층면상익악와적형태.결과:①관상면상,좌우량측익악와적제1～6층70%(21측)정사도제형,30%(9측)정사사변형,제7～10층균표현위관형.우측광원거평균치위(5.0±2.7)mm,좌측광원거평균치위(5.3±2.1)mm;우측원익거Ⅰ평균치위(6.4±3.9)mm,좌측원익거Ⅰ평균치위(6.1±4.3)mm;우측원익거Ⅱ평균치위(7.3±2.6)mm,좌측원익거Ⅱ평균치위(7.5±2.1)mm.②수평면상,좌우량측익악와제일이층기전、후벽주요표현위철면균향후적쌍호형80%(24측);제삼사층주요표현위철면상대적쌍호형약66.7%(20측);제오륙층주요표현위관형60%(18측);제7～10층칙전부표현위관형.수평면상,제1～6층익악와좌우경대우전후경,제7～10층익악와좌우경약등우전후경.좌우량측양본간익악와각층면경치차이불명현(P＞0.05).결론:골성익악와단층해부학연구미보료대기국부해부적국한,위익악와영상학급상관외과수술제공료가고적해부학의거.
BACKGROUND: Foreign and domestic scholars have made some studies on local anatomy and imageology of osseous pterygopalatine fossa, but studies on anatomy of section of osseous pterygopalatine fossa are few.OBJECTIVE: To measure hole-hole distance and aperture of pterygopalatine fossa from adult cranial bone at coronary and horizontal planes, and to observe the morphology of pterygopalatine fossa at corresponding sections.DESIGN: Repeated measurement design.SETTING: Scientific Research Office, Chengdu Medical College.MATERIALS: This experiment was carried out in the Laboratory for Local Anatomy, Department of Human Anatomy,Chengdu Medical College from March to November 2006. Sixty sides of complete dry cranial bone samples from 30 Chinese adult cases, who were of either gender and regardless of age, were involved in this study.METHODS: Bilateral pterygopalatine fossa of 30 dry cranial bone samples (60 sides) were sliced, 15 for slicing at coronary plane, and 15 for slicing at horizontal plane. Morphology of pterygopalatine fossa at the corresponding layers was observed, and related hole-hole distance and aperture were measured. Outcome was performed statistical analysis.MAIN OUTCOME MEASURES: Measurement at coronary plane: [1]orbit-rotundum distance (distance from the lowest point of inferior orbotal fissure to the center of rotundum); ② rotundum- pterygoid canal distance Ⅰ (vertical distance from the center of rotundum to the center of pterygoid canal); ③ rotundum- pterygoid canal distance Ⅱ (Distance from the area where rotundum appeared to the area where pterygoid canal appeared). Measurement at horizontal plane: [1]anterior-posterior dimension ( the largest distance between anterior and posterior walls which paralleled to perpendicular plate of palatine bone in each layer); ② lateral dimension (distance from midpoint of perpendicular plate of palatine bone to midpoint of line, which was between outermost sphenoidal process in the anterior wall of pterygopalatine fossa and foremost evagination in the posterior wall of pterygopalatine fossa). Morphology of pterygopalatine fossa in each layer was observed at coronary and horizontal planes, separately.RESULTS: ①At the coronary plane, the 1st to 6th layers of bilateral pterygopalatine fossa presented with inclined inverted trapezoid (70%, 21 sides), and inclined quadrilateral (30%, 9 sides), and the 7th to 10th layers of bilateral pterygopalatine fossa presented with canal-shape (100%). Themean value of right orbit-rotundum distance was (5.0±2.7) mm, andthat of left orbit-rotundum distance was (5.3±2.1) mm; The mean value of right rotundum- pterygoid canal distance Ⅰ was (6.4±3.9) mm, and that of left rotundum- pterygoid canal distance Ⅰ was (6.1±4.3) mm; The mean value of right rotundum- pterygoid canal distance Ⅱ was (7.3±2.6) mm, and that of left rotundum- pterygoid canal distance Ⅱ was (7.5±2.1) mm. ② At horizontal plane: The anterior and posterior walls of the 1st and 2nd layers of bilateral pterygopalatine fossa mainly presented with double curves with palinal convex surfaces (80%, 24 sides); the 3rd and 4th layers mainly presented with opposing convex surfaces (66.7%, 20 sides); The 5th to 6th layers mainly presented with canal shape (60%, 18 sides);And the 7th to 10th layers presented with canal shape (100%). At horizontal plane, for the pterygopalatine fossa in the 1st to 6th layers, its lateral dimension was larger than its anteroposterior dimension, and for the pterygopalatine fossa in the 7th to 10th layers, its lateral dimension was equal to its anteroposterior dimension. There were no significant differences of aperture in each layer of pterygopalatine fossa between bilateral samples (P＞ 0.05).CONCLUSION: Anatomical studies on the section of osseous pterygopalatine fossa retrieve the limitation in local anatomy,and provide reliable anatomical evidence for imageology of pterygopalatine fossa and related surgical operation.
