中华解剖与临床杂志
中華解剖與臨床雜誌
중화해부여림상잡지
Chinese Journal of Anatomy and Clinics
2014年
1期
37-40
,共4页
孙鑫%朱亚文%林建%陶高见
孫鑫%硃亞文%林建%陶高見
손흠%주아문%림건%도고견
眶下裂%圆孔%颈动脉沟%上颌神经%CT引导
眶下裂%圓孔%頸動脈溝%上頜神經%CT引導
광하렬%원공%경동맥구%상합신경%CT인도
Inferior orbital fissure%Foramen rotundum%Carotid artery groove%Maxillary nerve%CT guidance
目的 为经眶-圆孔入路行射频热凝术治疗三叉神经第二支三叉神经痛提供解剖测量数据.方法 对80个成人头骨经眶-圆孔穿刺入路及相关结构进行了测量与观察,对20个头颅软标本进行在CT引导下模拟操作与观察.结果 在160侧颅骨中,成功穿进圆孔者为122侧,占76.25％;穿刺点位于眶下缘外眦的内侧(0.41±0.11) cm;经穿刺点至圆孔外口的距离为(4.45±0.18)cm,至圆孔内口前缘的距离为(4.99 ±0.17)em,至颈动脉沟外侧缘距离为(5.52±0.35)cm.头颅软标本模拟操作穿刺安全有效深度为(5.38 ±0.25) cm;穿刺针进入圆孔时针与正中矢状面角度为32.2°±2.3°,与冠状面角度为57.2°±2.5°;穿刺针进入眶上裂后端时针与正中矢状面角度为26.0°±1.5°,与冠状面角度为64.5°±1.6°.结论 根据解剖测量数据,在CT引导下经眶下裂至圆孔穿刺法行临床治疗第二支三叉神经痛安全可靠,疗效确切.
目的 為經眶-圓孔入路行射頻熱凝術治療三扠神經第二支三扠神經痛提供解剖測量數據.方法 對80箇成人頭骨經眶-圓孔穿刺入路及相關結構進行瞭測量與觀察,對20箇頭顱軟標本進行在CT引導下模擬操作與觀察.結果 在160側顱骨中,成功穿進圓孔者為122側,佔76.25％;穿刺點位于眶下緣外眥的內側(0.41±0.11) cm;經穿刺點至圓孔外口的距離為(4.45±0.18)cm,至圓孔內口前緣的距離為(4.99 ±0.17)em,至頸動脈溝外側緣距離為(5.52±0.35)cm.頭顱軟標本模擬操作穿刺安全有效深度為(5.38 ±0.25) cm;穿刺針進入圓孔時針與正中矢狀麵角度為32.2°±2.3°,與冠狀麵角度為57.2°±2.5°;穿刺針進入眶上裂後耑時針與正中矢狀麵角度為26.0°±1.5°,與冠狀麵角度為64.5°±1.6°.結論 根據解剖測量數據,在CT引導下經眶下裂至圓孔穿刺法行臨床治療第二支三扠神經痛安全可靠,療效確切.
목적 위경광-원공입로행사빈열응술치료삼차신경제이지삼차신경통제공해부측량수거.방법 대80개성인두골경광-원공천자입로급상관결구진행료측량여관찰,대20개두로연표본진행재CT인도하모의조작여관찰.결과 재160측로골중,성공천진원공자위122측,점76.25％;천자점위우광하연외자적내측(0.41±0.11) cm;경천자점지원공외구적거리위(4.45±0.18)cm,지원공내구전연적거리위(4.99 ±0.17)em,지경동맥구외측연거리위(5.52±0.35)cm.두로연표본모의조작천자안전유효심도위(5.38 ±0.25) cm;천자침진입원공시침여정중시상면각도위32.2°±2.3°,여관상면각도위57.2°±2.5°;천자침진입광상렬후단시침여정중시상면각도위26.0°±1.5°,여관상면각도위64.5°±1.6°.결론 근거해부측량수거,재CT인도하경광하렬지원공천자법행림상치료제이지삼차신경통안전가고,료효학절.
Objective To provide anatomical data of radiofrequency thermocoagulation in the treatment of V2 trigeminal neuralgia through inferior orbital fissure and foramen rotundum approach.Methods The approach through inferior orbital fissure and foramen rotundum as well as its neighboring structures were observed and measured on 160 sides of 80 adult cranium and 20 adult cadavers.Results In 160 cases of adult cranium,the number of success into foramen rotundum was 122(76.25％).The distance of the puncture point to the lateral of infraorbital margin was (0.41 ±0.11)cm.The distance from the puncture point to the outer edge of the foramen rotundum was (4.45 ± 0.18) cm; the distance from the puncture point to the inner front edge of the foramen rotundum was (4.99 ± 0.17) cm; the distance from the puncture point to the lateral of Carotid artery groove was (5.52 ± 0.35) cm.The safe and effective depth in the adult cadavers was (5.38 ± 0.25) cm ; the angle between needle and median sagittal plane was 32.2° ± 2.3° and between needle and coronal plane was 57.2° ± 2.5° when it entered the foramen rotundum; the angle between needle and median sagittal plane was 26.0° ± 1.5° and between needle and coronal plane was 64.5° ± 1.6° when it entered the end of the superior orbital fissure.Conclusions According to the anatomical data,CT guided radiofrequency thermocoagulation in treatment of V2 trigeminal neuralgia through inferior orbital fissure and foramen rotundum approach is safe and effective.
