颞骨应用解剖研究

发布时间：2018-04-18 04:00

本文选题：颞骨 + 面神经　；参考：《山西医科大学》2010年硕士论文

【摘要】： 目的通过多种方式、多角度充分显露颞骨相关解剖结构及毗邻关系,将微细的结构直观化展现,给临床工作者以整体概念,再结合手术角度确定标志,为临床教学及耳科疾病的影像诊断、手术定位提供参考。方法由郑州卫教实验用品研制中心提供排除耳部器质性疾病的成年男性耳颞部材料(干性颞骨5对,湿性颞骨10对)、器械试剂、技术指导及场地等,通过磨制雕琢、内耳灌注、冰冻锯切等多种方法,制作颞骨解剖标本,充分显露相关结构及毗邻关系；使用尼康数码单镜反光相机D80及AF-S微距尼克尔60mm f／2.8G ED镜头多角度多参数采集图片；运用photoshop等软件处理标注图片。结果1.获得大量颞骨解剖标本及实物图片：(1)显示颞骨基本解剖结构及定位标志；(2)通过断层、内耳铸型、前庭蜗器磨制雕琢等多种方式,多角度充分显示内耳道、鼓室、耳蜗、前庭、半规管等精细复杂结构的位置及毗邻；(3)显示颞骨内面神经全程走行、分支及毗邻；(4)参照手术径路显示解剖标志及毗邻关系。 2.结合《耳鼻咽喉-头颈应用解剖学》相关章节内容,修改配图,明确各解剖标志的手术定位意义,制作直观性强的教学图库。结论实物标本结合图像资料,多角度充分展示耳颞部微细解剖关系,结构清晰、形象直观；帮助临床工作者建立颞骨精细结构的三维立体空间概念,在此基础上结合手术径路,明确解剖标志的定位意义,融汇贯通,提高耳鼻咽喉科的教学效果,指导影像诊断及术中定位,降低耳神经外科手术风险,服务临床。
[Abstract]:Objective to expose the temporal bone related anatomical structure and its adjacent relationship in various ways and to visualize the fine structure, and to give the clinical workers the whole concept and the operative angle to determine the mark.To provide reference for clinical teaching, imaging diagnosis and surgical location of otological diseases.Methods the materials of adult male ear-temporal region (5 pairs of dry temporal bone, 10 pairs of wet temporal bone, instrument reagent, technical guidance and site, etc.) were provided by Zhengzhou Health Education Experimental equipment Development Center.Frozen sawing and other methods were used to make anatomical specimens of temporal bone to fully reveal the related structures and adjacent relationships, and to collect images by using the Nikon digital single mirror reflex camera D80 and AF-S microscoped 60mm f / 2.8 G Ed lens.Use photoshop and other software to process tagged pictures.Result 1.A large number of anatomical specimens and images of temporal bones were obtained, showing that the basic anatomical structure of the temporal bone and its localization mark were as follows: through a variety of methods, such as faults, inner ear molds, vestibule cochlea grinding and carving, the inner ear canal, tympanic chamber, cochlea and vestibule were fully displayed at various angles.The location and adjacent structure of semicircular canal and intra facial nerve were demonstrated in the whole course of the temporal bone, and the branches and adjacent fir 4) showed the anatomic signs and the adjacent relationship according to the operative path.2.Combined with the relevant chapters of applied anatomy of ear, nose, throat and head and neck, the matching map was revised, the significance of surgical positioning of each anatomic mark was clarified, and a teaching map library with strong visual sense was made.Conclusion the object specimen combined with the image data can fully display the fine anatomical relationship of the temporal part of the ear in many angles, the structure is clear and the image is intuitionistic, the three-dimensional spatial concept of the fine structure of the temporal bone is established by the clinical workers, and the operative approach is combined with the concept of the three-dimensional space of the fine structure of temporal bone.The purpose of this study was to clarify the localization significance of anatomic markers, to improve the teaching effect of otorhinolaryngology, to guide imaging diagnosis and intraoperative positioning, to reduce the risk of otoneurosurgery, and to serve clinical practice.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R764

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