国人三叉神经痛治疗的应用解剖学的研究

发布时间：2019-01-20 15:40

【摘要】：目的:探讨卵园孔的解剖结构,侧入法神经阻滞的穿刺深度,为临床治疗三叉神经痛提供解剖学依据。方法:通过80例颅骨标本,观测卵圆孔的形态、大小、深度及其周围结构与卵圆孔穿刺路径的关系。测量颧弓最高点间距,颧弓最高点至卵圆孔外侧缘,结节嵴基线水平卵圆孔与颧弓最高点切线距离,通过统计计算侧入法神经节阻滞的穿刺深度。结果:卵圆孔呈椭圆形、圆形、梨形、肾形,孔相对较大,容易穿刺;卵圆孔呈长条形,孔扁小,穿刺难度大。卵圆孔管道短,穿刺针方向容易偏斜,卵圆孔管道长,穿刺针方向比较固定,不易偏斜。侧入法穿刺深度可根据颅骨表面测量计算出结论:卵圆孔的解剖特点,在神经阻滞术治疗三叉神经痛的卵圆孔穿刺中对穿刺的准确性有重要的价值。根据颧弓最高点间距可推算卵圆孔穿刺时穿刺针进针的深度。
[Abstract]:Objective: to study the anatomical structure of the foramen ovale and the puncture depth of lateral nerve block to provide anatomic basis for clinical treatment of trigeminal neuralgia. Methods: the shape, size, depth and surrounding structure of foramen ovale were observed in 80 skull specimens. The distance between the highest point of the zygomatic arch and the lateral margin of the foramen ovale, the tangential distance between the horizontal foramen ovale and the highest point of the zygomatic arch were measured. Results: the foramen ovale was elliptic, pear shaped, kidney shaped, relatively large, easy to puncture, and the foramen ovale was long, flat and difficult to puncture. The orifice pipe is short, the needle direction is easy to deviate, the hole tube is long, the needle direction is fixed, and the needle direction is not inclined. The depth of puncture by lateral approach can be calculated according to the skull surface measurement. Conclusion: the anatomical characteristics of foramen ovale are of great value to the accuracy of puncture in the treatment of trigeminal neuralgia by nerve block. According to the distance between the highest points of the zygomatic arch, the depth of the needle can be calculated during the puncture of the foramen ovale.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R745.1;R322

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