三叉神经节阻滞相关结构的观测

Investigation of the structures related to the blocking of trigeminal ganglia

目的:探讨三叉神经节阻滞的方法,预防其并发症的发生。方法:测量了120侧成人颅骨卵圆孔等结构的数据,观测了30侧成人尸头三叉神经节的毗邻结构。结果:三叉神经节阻滞进针的深度:①前入法:颧上颌缝下缘至卵圆孔前外侧缘的距离,男性左侧为51.5±0.6mm,右侧为51.9±0.5mm。女性左侧为50.3±0.6mm,右侧为50.9±0.7mm。②侧入法:颧弓中点下缘至卵圆孔前外侧缘的距离,男性左侧为40.4±0.4mm,右侧为40.9±0.4mm。女性左侧为39.2±0.6mm,右侧为40.2±0.7mm。获得了三叉神经节的毗邻结构观测结果。结论:为预防三叉神经节阻滞发生的并发症提供了解剖学依据。

Objective：To study approaches to trigeminal ganglia provide prevention of its complication.Method：Skull foramen ovale in 120 adult cases and adjoining structure of trigeminal ganglia in 30 adult necropsies were measured.Result：The depth of needle in trigeminal ganglia block： ①Front approach method：The distance from inferior border of zygomaticomaxillary suture to anterolateral border of foramen ovale was 51.5±0.6mm in the left, was 51.9±0.5 mm in the right for males; 50.3±0.6mm in the left 50.9±0.7mm in the right for females. ②Lateral approach method：the distance from the midpoint of inferior border of zygomatie arch to lateral border of foramen ovale was 40.4±0.4 mm in the left ,40.9±0.4mm in the rights for males ;for females ,the left was 39.2±0.7mm,the right 40.2±0.7mm.Data of adjoining structure of trigeminal ganglia were also obtained.Conclusion：This study provides reference data for the depth of needly and anatomical basis for the prevention of complications caused by the blocking of the trigeminal ganglia.