摘要
目的通过对扩大经鼻蝶入路鞍旁的显微解剖学研究为临床应用提供形态学基础。方法在15具动脉灌注染料的成人尸头上,模拟扩大经鼻蝶手术入路进行解剖,测量鞍旁重要结构的距离。结果经蝶鞍旁神经血管关系与经颅不同,由前至后可分为视柱三角、上三角区、上四边形区和下四边形区。结论鞍旁相关神经血管间形态特征可为内镜下行扩大经鼻蝶入路手术提供解剖形态学标志。
Objective To study the microanatomy on parasella through an extended transsphenoidal approach and provide morphologic foundation for clinical application. Methods A mimical surgery was performed on 15 adult cadaver heads through an extended transsphenoidal approach, and some anatomic parameters measured. Results The relationship between nerves and blood vessels were different as shown through parasella or skull approach. From anterior to posterior part, it might be divided into optic strut triangle, upper triangle, upper quadrilateral area, and lower quadrilateral area. Conclusion The correlated features of parasella nerves and blood vessels may provide anatomic markers for endoscopic procedures through extended transsphenoidal approach.
出处
《齐鲁医学杂志》
2009年第6期513-514,共2页
Medical Journal of Qilu
关键词
经鼻蝶手术
显微操作
解剖
Transsphenoidal approach
Micromanipuiation
Dissection
