翼腭窝神经阻滞麻醉的临床应用

The Clinical Practice of Block Anesthesia of Pterygopalatine Fossae

通过对60个成人整颅、120个翼腭窝进行测量.发现翼腭窝有三种类型:第一种为锥体型,有63个(52.5%);第二种为窄隙型,有20个(16.7%);第三种为中间型,有37个(30.8%).自行设计了两个体表定位点即.颧骨点、眶外下点.测出了两点至翼腭窝内侧壁和后壁的距离.从临床麻醉需要提出了两种新的上颌神经和封闭翼腭神经节的麻醉方法,临床应用315例,完成口腔颌面部大中手术219例.结果显示:有效率295例(93.65%),显效20例(6.35%),无效0.笔者认为该方法在应用中,具有效果良好易掌握,无污染等优点.

Through our measures to 60 patients of cranium plastic and 120 patients of pterygoplatine fossae. We found three types of prerygopalaine fossae: pyramid (52. 5%), narrow (16. 7%).intermediate(30. 8%). We set two face points, Zygpmatic bone point and orbitale, measure the distants of those two points to the medical niche and pasterior niche of pterygopalatine fossae. We choses the two new anesthesia methods of nervus maxillaris and close nervus segmenta pterygopalatine. From the 315 clinical practices of those two methods and the 219 operations of or.il cavity and Jaw, 295 cases (93. 65%) were effective, 20 cases (6. 35%) just showed effective, there were no cases uneffective those methods have advantages as follow, easily grasped, no contaminated and high effective.