多模态辅助下经纵裂-胼胝体-透明隔-穹窿间-第三脑室入路的解剖学研究

发布时间：2018-04-11 12:39

本文选题：显微解剖 + 神经内镜　；参考：《中国临床解剖学杂志》2017年05期

【摘要】：目的研究在导航引导下经纵裂-胼胝体-透明隔-穹窿间-第三脑室的解剖入路,探讨神经导航在优化此入路的操作方法及其具体应用价值。方法选用5例成人尸头标本,模拟经纵裂-胼胝体-透明隔-穹窿间-第三脑室的入路,并在神经导航下通过神经内镜及显微镜对入路途径中的相关结构进行解剖学观察以及相应数据的测量,并进行统计学分析。结果通过将5例标本的标本解剖测量数据与导航上测量数据进行统计学分析,发现其所得P值均大于0.05,这说明标本解剖测量数据与导航上测量数据并无统计学差异,也说明神经导航可以精确指导该入路。结论导航引导下可以实现对胼胝体的精准切开、对透明隔及穹窿等重要解剖结构的可靠识别和精细操作,优化先前的手术入路,以减轻脑组织损伤,提高手术的可靠性。
[Abstract]:Objective to study the anatomical approach of mediastinal fissure, corpus callosum, septum pellucidum, interfornion and third ventricle under navigational guidance, and to explore the operative method and practical value of neuronavigation in optimizing this approach.Methods five adult cadaveric heads were used to simulate the translongitudinal fissure, corpus callosum, septum pellucidum, interfornical approach and third ventricle approach.Anatomic observation and measurement of the corresponding data were carried out through neuroendoscopy and microscope under neuronavigation, and statistical analysis was carried out.Results through the statistical analysis of the anatomical and navigation data of 5 specimens, the P values were all greater than 0.05, which indicated that there was no statistical difference between the anatomical data and the navigation data.It also shows that neuronavigation can accurately guide the approach.Conclusion under the guidance of navigation, accurate incision of corpus callosum, reliable identification and fine operation of important anatomical structures such as septum hyaline septum and fornix can be realized, and the previous operative approach can be optimized to reduce the injury of brain tissue and improve the reliability of operation.
【作者单位】：扬州大学附属医院神经外科;
【基金】：扬州市社会发展基金(YZ2014221)
【分类号】：R322.8;R651

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