中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2013年
1期
40-43
,共4页
龙青山%王向宇%覃成箭%马亚宾%陈祥荣%陈祎招%梁文
龍青山%王嚮宇%覃成箭%馬亞賓%陳祥榮%陳祎招%樑文
룡청산%왕향우%담성전%마아빈%진상영%진의초%량문
经单鼻-蝶窦入路%解剖学%多平面重建%蝶窦
經單鼻-蝶竇入路%解剖學%多平麵重建%蝶竇
경단비-접두입로%해부학%다평면중건%접두
Single-nostril transsphenoidal approach%Anatomy%Multi-planar reconstruction%Sphenoid sinus
目的 探讨成人经单鼻-蝶窦入路中的解剖学参数. 方法 前瞻性收集南方医科大学珠江医院自2011年10月至2012年1月间行头颅-颈CTA检查的294例成人的CT数据,行多平面重建并测量鞍底最低点-鼻前棘根部-鼻腔底的夹角(∠1),上颌中切牙下端至外耳道连线与鼻腔底的夹角(∠2),鞍结节-鼻前棘根部-鼻腔底的夹角(∠3),鞍背-鼻前棘根部-鼻腔底的夹角(∠4),右/左侧蝶窦口-上颌嵴-鼻腔底的夹角(∠5/∠6). 结果 ∠1～∠6分别为(29.7±3.1)°、(29.5±3.1)°、(33.6±3.8)°、(28.8±3.6)°、(33.9±4.2)°、(33.6±4.5)°,比较差异有统计学意义(P＜0.05).两两比较显示∠3、∠5、∠6大于∠l、∠2,∠4小于∠1、∠3,∠5、∠6大于∠4,差异均有统计学意义(P＜0.05).相关性分析显示∠1与∠2之间有正相关关系(r=0.784,P=0.000). 结论 术前头颅CT多平面重建及相关解剖学参数的测定,有助于安全的打开蝶窦前壁及鞍底的开窗,上颌中切牙下端与双外耳道虚拟平面垂直于地面可作为经单鼻蝶窦入路的参考体位.
目的 探討成人經單鼻-蝶竇入路中的解剖學參數. 方法 前瞻性收集南方醫科大學珠江醫院自2011年10月至2012年1月間行頭顱-頸CTA檢查的294例成人的CT數據,行多平麵重建併測量鞍底最低點-鼻前棘根部-鼻腔底的夾角(∠1),上頜中切牙下耑至外耳道連線與鼻腔底的夾角(∠2),鞍結節-鼻前棘根部-鼻腔底的夾角(∠3),鞍揹-鼻前棘根部-鼻腔底的夾角(∠4),右/左側蝶竇口-上頜嵴-鼻腔底的夾角(∠5/∠6). 結果 ∠1～∠6分彆為(29.7±3.1)°、(29.5±3.1)°、(33.6±3.8)°、(28.8±3.6)°、(33.9±4.2)°、(33.6±4.5)°,比較差異有統計學意義(P＜0.05).兩兩比較顯示∠3、∠5、∠6大于∠l、∠2,∠4小于∠1、∠3,∠5、∠6大于∠4,差異均有統計學意義(P＜0.05).相關性分析顯示∠1與∠2之間有正相關關繫(r=0.784,P=0.000). 結論 術前頭顱CT多平麵重建及相關解剖學參數的測定,有助于安全的打開蝶竇前壁及鞍底的開窗,上頜中切牙下耑與雙外耳道虛擬平麵垂直于地麵可作為經單鼻蝶竇入路的參攷體位.
목적 탐토성인경단비-접두입로중적해부학삼수. 방법 전첨성수집남방의과대학주강의원자2011년10월지2012년1월간행두로-경CTA검사적294례성인적CT수거,행다평면중건병측량안저최저점-비전극근부-비강저적협각(∠1),상합중절아하단지외이도련선여비강저적협각(∠2),안결절-비전극근부-비강저적협각(∠3),안배-비전극근부-비강저적협각(∠4),우/좌측접두구-상합척-비강저적협각(∠5/∠6). 결과 ∠1～∠6분별위(29.7±3.1)°、(29.5±3.1)°、(33.6±3.8)°、(28.8±3.6)°、(33.9±4.2)°、(33.6±4.5)°,비교차이유통계학의의(P＜0.05).량량비교현시∠3、∠5、∠6대우∠l、∠2,∠4소우∠1、∠3,∠5、∠6대우∠4,차이균유통계학의의(P＜0.05).상관성분석현시∠1여∠2지간유정상관관계(r=0.784,P=0.000). 결론 술전두로CT다평면중건급상관해부학삼수적측정,유조우안전적타개접두전벽급안저적개창,상합중절아하단여쌍외이도허의평면수직우지면가작위경단비접두입로적삼고체위.
Objective To investigate the related anatomical parameters of single-nostril transsphenoidal approach in adults.Methods Two hundred and ninty-four adults,performed head-neck CTA in our hospital from October 2011 to January 2012,were prospectively collected; and their CT data were collected,and the following anatomical parameters were measured through the multi-planar reconstruction of the CTA images:the angle of sella lowest point-anterior nasal spine root-the bottom of nasal cavity (∠ 1),the angle of the connection of Maxillary central incisors bottom to auditory canal crossing with the bottom of nasal cavity(∠ 2),the angle of tuberculum sellae-anterior nasal spine root-the bottom of nasal cavity(∠3),the angle ofdorsum sellae-anterior nasal spine root-the bottom of nasal cavity (∠4),and the angles of right / left sphenoid sinus mouth-maxillary ridge-the bottom of nasal cavity(∠5 / ∠6).Results ∠1(29.7±3.1°),∠2(29.5±3.1°),∠3(33.6±3.8°),∠4(28.8±3.6°),∠5(33.9±4.2°) and ∠6(33.6±4.5°) were calculated; significant differences were noted between each two angles (P＜0.05); ∠ 1 and ∠2 had a positive linear correlation (r=0.78,P＜0.05).Conclusion Preoperative multi-planar reconstruction images of CT facilitates safe opening of the anterior wall of spheniodal sinus and the sellar floor,and the operative position refers to the orientation that the virtual plane of Maxillary central incisors bottom to bilateral auditory canal erects the ground.
