经口鼻蝶窦行垂体手术的应用解剖

Applied Anqtomy of the Transoronaso-Sphenoidal Hypophysectomy

为提供临床经口鼻蝶窦行垂体手术的应用解剖学资料,用肉眼和手术显微镜(10×)对30例成人颅底标本进行了研究。观测项目有(1)蝶窦的类型、大小、开口和隔;(2)覆盖蝶窦壁的骨质厚度;(3)蝶窦外侧壁上血管凸和神经凸的位置、形态和骨质厚度。对观测结果在经蝶窦行垂体手术中的意义进行了讨论。

In order to provide the applied anatomical data for the transoronaso - sphenoidal hypophysectomy,30 adullt skull specimens were studied.The ollowing item were observed and measured by naked eyes and an operative microscope (10x).They arc: the type,size,septa,and orificas of the sphenoid sinuses; the position,shape and bony thickness of the neural and vascular prominences on the lateral wall of the sinuses; the thickness of sphenoid sinus wall.The significance of the results in transoronaso -sphenoidal hypophysectomy was discussed.