舌等离子射频消融术与舌动脉及舌下神经的解剖关系

发布时间：2018-03-19 22:18

本文选题：OSAHS　切入点：舌　出处：《大连医科大学》2009年硕士论文　论文类型：学位论文

【摘要】： 目的:通过对16侧尸舌的局部解剖研究和测量舌动脉及舌下神经在舌内的走行位置观察,采用比例的方法为舌等离子射频消融术提供详细解剖学方面的数据和理论依据。材料及方法:1.标本来源:8具(16侧)福尔马林固定、颌面部发育正常成人尸头标本(不分性别、侧别)。颈总动脉灌注红色乳胶,锯断双侧下颌骨升支,开颌暴露舌表面及舌会厌谷,在正中联合处将下颌骨锯断,自舌动脉于颈外动脉起点开始解剖舌动脉。 2试验方法:对16侧尸体舌的局部解剖测量,了解舌动脉及舌下神经在舌内的走行,并进行相对定位。 3.统计学分析:所测数据分别计算舌动脉及舌下神经水平向距中线的距离与舌宽度及长度的比值,经SPSS10.0软件进行处理,行方差分析。结果:舌动脉及舌下神经的主干在舌盲孔周围距舌表面的垂直距离不随其走行而改变,约为20mm左右。舌动脉及舌下神经水平位距中线距离与舌宽度的比值于舌盲孔后10 mm、舌盲孔及舌盲孔前10 mm分别是0.2692±0.0115、0.2623±0.0027、0.2334±0.0089、0.2619±0.0102、0.2021±0.0136、0.1925±0.0094。数据经方差分析差异有统计学意义(P0.01)。结论:舌根等离子射频消融的相对安全范围采用简洁的比例算法更实用,即水平距离在舌中线1/3处,边缘在外1/3,中间与外周1/3交点处最危险,表面下不应超过20mm。
[Abstract]:Objective: to study the local anatomy of 16 cadaveric tongue and observe the position of tongue artery and hypoglossal nerve in tongue, and to provide detailed anatomical data and theoretical basis for tongue plasma radiofrequency ablation by proportional method. Materials and methods: 1. The specimens were fixed with formalin (16 sides of 8 heads), and the heads of adult cadavers with normal maxillofacial development were fixed (regardless of sex and side). The common carotid artery was infused with red latex, and the ascending ramus of the bilateral mandible was sawed. The open jaw exposed the surface of the tongue and the valley of the epiglottis and sawed the mandible at the median junction and dissected the lingual artery from the origin of the external carotid artery. Methods: the local anatomic measurements of 16 cadaveric tongues were carried out to understand the movement of the lingual artery and hypoglossal nerve in the tongue and to locate them relatively. 3. Statistical analysis: the ratio of the distance between the lingual artery and the hypoglossal nerve to the median line and the width and length of the tongue were calculated. The data were processed by SPSS10.0 software and analyzed by ANOVA. Results: the vertical distance between the trunk of the lingual artery and the hypoglossal nerve from the lingual surface around the foramen caecum of the tongue did not change with the movement of the artery and the hypoglossal nerve. The ratio of the distance between the horizontal position of the lingual artery and the hypoglossal nerve to the median line and the width of the tongue was 10 mm behind the lingual caecal foramen, and 0.2692 卤0.0115 ~ 0.2623 卤0.0027 ~ 0.2334 卤0.0089 ~ 0.2619 卤0.01020.2021 卤0.0136n 0.1925 卤0.00944 for the tongue caecal foramen and 10 mm before the tongue caecal foramen, respectively. Conclusion: the relative safe range of radiofrequency ablation of tongue root is more practical, that is, the horizontal distance is 1/3 in the midline of tongue, the edge is 1 / 3 outside, and the intersection point between the middle and the peripheral 1/3 is the most dangerous, and the surface should not exceed 20mm.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R322

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