中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
36期
5-7
,共3页
吴臣义%龚坚%黄武%刘科峰
吳臣義%龔堅%黃武%劉科峰
오신의%공견%황무%류과봉
神经外科手术%尸体解剖%显微镜检查%乙状窦后入路
神經外科手術%尸體解剖%顯微鏡檢查%乙狀竇後入路
신경외과수술%시체해부%현미경검사%을상두후입로
Neurosurgical procedure%Autopsy%Microscopy%Retrosigmoid approach
目的 对经乙状窦后锁孔入路至岩斜区进行显微解剖学研究,为临床应用提供解剖学依据.方法 采用6具(共12侧)经10%甲醛溶液固定的尸体头颅标本,模拟经乙状窦后锁孔入路,显微镜下观察所显露的解剖结构.结果 通过调整头位和显微镜角度,经乙状窦后锁孔入路可显露同侧三叉神经、面神经、听神经、后组颅神经、脑桥腹外侧面、小脑半球外侧面、小脑前下动脉、椎动脉、小脑后下动脉等.结论 经乙状窦后锁孔入路符合微创原则,可良好显露岩斜区重要解剖结构.
目的 對經乙狀竇後鎖孔入路至巖斜區進行顯微解剖學研究,為臨床應用提供解剖學依據.方法 採用6具(共12側)經10%甲醛溶液固定的尸體頭顱標本,模擬經乙狀竇後鎖孔入路,顯微鏡下觀察所顯露的解剖結構.結果 通過調整頭位和顯微鏡角度,經乙狀竇後鎖孔入路可顯露同側三扠神經、麵神經、聽神經、後組顱神經、腦橋腹外側麵、小腦半毬外側麵、小腦前下動脈、椎動脈、小腦後下動脈等.結論 經乙狀竇後鎖孔入路符閤微創原則,可良好顯露巖斜區重要解剖結構.
목적 대경을상두후쇄공입로지암사구진행현미해부학연구,위림상응용제공해부학의거.방법 채용6구(공12측)경10%갑철용액고정적시체두로표본,모의경을상두후쇄공입로,현미경하관찰소현로적해부결구.결과 통과조정두위화현미경각도,경을상두후쇄공입로가현로동측삼차신경、면신경、은신경、후조로신경、뇌교복외측면、소뇌반구외측면、소뇌전하동맥、추동맥、소뇌후하동맥등.결론 경을상두후쇄공입로부합미창원칙,가량호현로암사구중요해부결구.
Objective To observe the microscopic anatomy structures of petroclival region via the retrosigmoid keyhole approach,then provide an anatomic basis for clinical application.Method Six adult cadaveric heads 6xed by 10% formaldehyde solution were used for simulating the retrosigmoid keyhole approach to observe major microscopic anatomy structures.Results By means of adjusting the microscope,structures such as the ipsilateral trigeminal nerves,cranial nerve,acoustic nerve,posterior nerves,anterior and lateral pons,lateral cerebellar hemisphere,anterior inferior cerebellar artery,vertebral artery,posterior inferior cerebellar artery were exposed via this keyhole approach.Conclusion This retrosigmoid keyhole approach is according with the minimally invasive principle,and represents a reasonable option for accessing the petroclival region.
