海绵窦显微解剖学研究

发布时间：2018-06-26 05:37

本文选题：额颞部眶颧入路 + 海绵窦　；参考：《吉林大学》2007年硕士论文

【摘要】： 目的:海绵窦(以下简称CS)位于颅中窝底部,是颅底病变常侵犯的部位,该部位的特殊位置与毗邻结构的复杂性使其一直是颅底外科学研究中倍受重视的部位,也是颅底手术入路难度较大和手术并发症多见的区域之一。本研究旨在通过对额颞部眶颧入路的观察、了解该入路对海绵窦的显露,同时对海绵窦常用三角的界限、大小、及其内重要结构的毗邻关系进行显微解剖测量,为海绵窦区手术提供解剖学基础。方法:对15例(30侧)成人尸头标本经额颞部眶颧入路显露海绵窦区,在显微镜下观察该入路对海绵窦结构的显露,去脑后对海绵窦区常用三角及其内部结构进行显微解剖学观测,所得数据应用SPSS10.0软件进行统计学分析。结果:通过15例(30侧)成人湿性头颅标本经额颞部眶颧入路充分显露海绵窦及毗邻结构,在显微镜下对海绵窦相关三角及内部结构进行显微解剖及测量,获得海绵窦常用三角在非颅内肿瘤疾病情况下的大小范围数据,并对相关三角的界限、构成及其内部结构进行观测,进一步识别和保护海绵窦内的重要结构,丰富临床海绵窦区的显微解剖学资料。
[Abstract]:Objective: the cavernous sinus (CS) is located at the bottom of the middle cranial fossa, which is often invaded by the lesions of the skull base. Because of its special position and the complexity of the adjacent structure, the cavernous sinus (CS) has always been an important part in the study of skull base surgery. It is also one of the areas where the surgical approach is difficult and the complications are common. The purpose of this study was to investigate the exposure of cavernous sinus via frontotemporal orbitozygomatic approach, and to make microanatomical measurements of the boundary, size and contiguous relationship of the common triangle of cavernous sinus. To provide anatomic basis for cavernous sinus surgery. Methods: the cavernous sinus region was exposed through frontotemporal orbital zygomatic approach in 15 adult cadaveric heads (30 sides), and the exposure of cavernous sinus structure was observed under microscope. The common triangle and its internal structure in cavernous sinus were observed by microanatomy after brain removal. The data were analyzed by SPSS 10.0 software. Results: the cavernous sinus and its adjacent structures were fully exposed through the frontotemporal orbital zygomatic approach in 15 adult wet skull specimens (30 sides). The related triangular and internal structures of cavernous sinus were dissected and measured under microscope. The size range data of common cavernous sinus triangles in the case of non-intracranial tumor diseases were obtained, and the boundary, composition and internal structure of the related triangles were observed to further identify and protect the important structures in the cavernous sinus. To enrich the microanatomical data of clinical cavernous sinus.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R322

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