CAJ | 학술논문

目的：对尸头标本经额纵裂入路及鞍区的显微解剖学进行研究。方法将经10%甲醛固定的10例成人尸头标本（经红、蓝乳胶血管灌注处理）作为对象，显微镜下对其行模拟经额纵裂入路鞍区手术，对该入路中的解剖结构进行观察。结果经额纵裂入路可清晰的显露鞍区结构包括嗅神经、视神经、视交叉、垂体柄、颈内动脉及分支、前交通动脉复合体、下丘脑和终板等。结论经额纵裂入路利于手术视野的暴露，鞍区显微解剖结构为手术的设计和改进提供依据。
목적：대시두표본경액종렬입로급안구적현미해부학진행연구。방법장경10%갑철고정적10례성인시두표본（경홍、람유효혈관관주처리）작위대상，현미경하대기행모의경액종렬입로안구수술，대해입로중적해부결구진행관찰。결과경액종렬입로가청석적현로안구결구포괄후신경、시신경、시교차、수체병、경내동맥급분지、전교통동맥복합체、하구뇌화종판등。결론경액종렬입로리우수술시야적폭로，안구현미해부결구위수술적설계화개진제공의거。
?Objective?To?study?the?microscopic?anatomy?of?cadaver?head?specimens?by?the??transfrontal?interhemispheric?approach?and?saddle?area?.?Methods?10?cases?of?adult?cadaver?head?specimens?fixed?by?10%?formaldehyde(by?the?red?and?blue?latex?vessels?perfusion?treatment)?as?the?research?objects,?who?were?given?simulating?by?the??transfrontal?interhemispheric?approach?saddle?area?operation?under?the?microscope,?the?anatomical?structure?of?the?approach?was?observed?.Results?It?could?show?the?structure?of?the?saddle?area?clearly?including?olfactory?nerve,?optical?nerve,?optic?chiasma,?pituitary?stalk,?internal?carotid?artery?and?branches,?anterior?communicating?artery?complex,?the?hypothalamus?and?end?plate?and?so?on?by?the?longitudinal?crack?on?the?forehead.?Conclusion?By the longitudinal crack on the frontal approach is good to the exposure of the surgical ifeld , microscopic anatomical structure of saddle?area?can?offer?basis?to?the?design?of?the?operation?and?improvement.