内镜下经鼻颅颈交界腹侧区手术的应用解剖

发布时间：2018-04-23 20:04

本文选题：内镜 + 鼻颅颈　；参考：《中国医学创新》2015年24期

【摘要】：目的:探讨内镜下经鼻颅颈交界腹侧区手术的解剖学应用。方法:选择本院28具颅底与颈椎标本,对经鼻入路有关解剖学数据进行测量,选出8具尸头,以红色与蓝色乳胶进行灌注,通过内镜下观察,以0°和30°经鼻入路对颅颈交界腹侧区的腹侧镇里行分析。结果:经测量,枕髁间距为(16.13±1.85)mm,而寰椎前弓长度为(15.85±1.17)mm,测量齿突高为(14.97±2.18)mm,而齿突的最大横径可达到(10.35±0.79)mm。研究发现,在内镜下观察,经鼻入路可以顺利地将寰椎前弓和齿状突、枕大孔前缘进行模拟切除,将颅颈交界区腹侧的硬膜下结构显露出来,具有极佳的手术视野。发现内镜下,经鼻入路手术有明显标志,下鼻甲和后鼻孔、颈长肌及寰椎前弓、齿状突尖等。结论:内镜下观察由鼻入路能将颅颈交界腹侧区硬膜下结构充分地暴露出来,是较好的手术入路,建议临床推广应用。
[Abstract]:Objective: To investigate the anatomical application of endoscopic surgery on the ventral region of the craniofacial junction. Methods 28 cranial base and cervical spine specimens were selected to measure the anatomical data of the transnasal approach. 8 cadavers were selected and perfused with red and blue latex, through endoscopic observation, through the nasal approach of 0 and 30 degrees to the ventral region of the craniofacial junction. In the ventral side, the distance between the occipital condyle was (16.13 + 1.85) mm, and the length of the anterior arch of the atlas was (15.85 + 1.17) mm, and the height of the odontoid process was (14.97 + 2.18) mm. The maximum transverse diameter of the odontoid process could reach (10.35 + 0.79) mm.. The anterior arch of the atlas and the odontoid process and the anterior margin of the occipital great foramen could be successfully observed under the endoscope. Simulated resection of the subdural structure on the ventral side of the craniocalderm has an excellent visual field. It is found that endoscopic surgery has obvious signs, inferior turbinate and posterior nostrils, the long neck muscle and the anterior atlas arch, odontoid tip, etc. conclusion: endoscopic observation of the subdural structure in the ventral area of the craniocalvidian junction can be fully observed under endoscopy. Exposure is a good surgical approach and is recommended for clinical application.

【作者单位】：广东省深圳市第二人民医院;
【基金】：国家医学教育发展中心课题(2011-047-04-13)
【分类号】：R322;R765.9

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