解剖与临床
解剖與臨床
해부여림상
JOURNAL OF ANATOMY AND CLINICS
2013年
5期
446-449
,共4页
面神经隐窝%颞骨%解剖学%影像学
麵神經隱窩%顳骨%解剖學%影像學
면신경은와%섭골%해부학%영상학
Facial recess%Temporal bone%Applied anatomy%Imaging
目的：对面神经隐窝进路涉及解剖区域的相关显微解剖和影像学解剖的研究进展进行综述。方法：选用近几年关键词为“面神经”、“颞骨”及“后鼓室”的文章进行分析和总结。结果：其解剖结构复杂精细，涉及面神经乳突段、鼓索神经、砧骨窝之间的解剖区域。一些重要解剖结构的位置相对恒定，如锥隆起、圆窗龛、圆窗、前庭窗、镫骨、砧骨短脚、匙突、面神经鼓室段、水平半规管凸、后半规管凸等，可以作为手术的参考标记。结论：面神经隐窝进路在现代耳显微外科中有重要地位，熟悉其解剖关系，可以指导临床手术，避免损伤。
目的：對麵神經隱窩進路涉及解剖區域的相關顯微解剖和影像學解剖的研究進展進行綜述。方法：選用近幾年關鍵詞為“麵神經”、“顳骨”及“後鼓室”的文章進行分析和總結。結果：其解剖結構複雜精細，涉及麵神經乳突段、鼓索神經、砧骨窩之間的解剖區域。一些重要解剖結構的位置相對恆定，如錐隆起、圓窗龕、圓窗、前庭窗、鐙骨、砧骨短腳、匙突、麵神經鼓室段、水平半規管凸、後半規管凸等，可以作為手術的參攷標記。結論：麵神經隱窩進路在現代耳顯微外科中有重要地位，熟悉其解剖關繫，可以指導臨床手術，避免損傷。
목적：대면신경은와진로섭급해부구역적상관현미해부화영상학해부적연구진전진행종술。방법：선용근궤년관건사위“면신경”、“섭골”급“후고실”적문장진행분석화총결。결과：기해부결구복잡정세，섭급면신경유돌단、고색신경、침골와지간적해부구역。일사중요해부결구적위치상대항정，여추륭기、원창감、원창、전정창、등골、침골단각、시돌、면신경고실단、수평반규관철、후반규관철등，가이작위수술적삼고표기。결론：면신경은와진로재현대이현미외과중유중요지위，숙실기해부관계，가이지도림상수술，피면손상。
Objective:To review the research progress of the related microdissection through facial re-cess approach and the imaging anatomy of temporal bone .Methods:To consult some articles with key words of facial nerve、temporal bone and posterior tympanum , then to summarize and analyze the obtained information . Results:The related anatomic structures were complicated , involving in the anatomic region among mastoid seg-ment of facial nerve , chorda tympani nerve and incudal fossa .The position of some anatomic structures was rel-atively constant and these structures could be used as the reference marks for otologic microsurgery , such as py-ramidal eminence, round window niche, round window, vestibular window, stapes, short crus of incus, cochle-ariform process, tympanic segment of facial nerve , lateral semicircular canal , posterior semicircular canal , etc. Conclusions:The facial recess approach plays an important role in modern otologic microsurgery , being familiar with the anatomic relationship can guide the clinical operation and avoid injury .
