期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

经眶上缘外侧锁孔入路鞍区内镜解剖及操作技术

Endoscopic anatomy and technique in the sellar region via the superolateral orbital rim keyhole approach
下载PDF
导出
摘要 目的探讨经眶上缘外侧锁孔入路鞍区的内镜解剖及操作技术。方法本组采用15具10%甲醛溶液固定的成人尸头和1例新鲜尸头,经眶上缘外侧锁孔入路应用内镜(0°镜、30°镜)对鞍区各间隙进行解剖观察并模拟手术操作。结果经眶上缘外侧锁孔入路开颅可达到经典翼点入路对骨窗的基本要求,通过使用内镜,可清晰的显露间隙Ⅰ、Ⅱ、Ⅲ、Ⅳ,尤其对重要穿通血管的显露更明确。结论经眶上缘外侧锁孔入路创伤小,暴露好;其中间隙Ⅰ、间隙Ⅲ是鞍区内镜探查最常使用且较为安全的间隙。 Objective To explore the endoscopic anatomy and technique in the sellar region via the superolateral orbital rim keyhole approach. Methods 15 adult cadavers head soaked in fomalin and 1 fresh adult cadaver head were studied with hard endoscopy （ 0°,30°） alternatively, the anatomy structures were observed, and operation simulated. Results The basic information obtained via the superolateral orbital rim keyhole approach was comparable to that obtained via the classic pterional approach, the space Ⅰ , Ⅱ , Ⅲ and IV can be clearly displayed by an endoscope at various angles, especially for perforating branches. Conclusion The superolateral orbital rim keyhole approach is a minimal invasive procedure with better exposure, which space Ⅰ , Ⅲ exploration is most frequently used and more secure.
作者 李监松 骆成 吴再进 许勇 孙庆 徐光斌 经大平 涂祝新 侯树穹 吴永 彭磊 伍葵
机构地区 安徽省芜湖市第二人民医院神经外科 安徽省芜湖市第二人民医院CT室
出处 《临床神经外科杂志》 CAS 2009年第4期197-199,202,共4页 Journal of Clinical Neurosurgery
关键词 内镜 鞍区 锁孔入路 解剖 endoscope sellar region keyhole approach anatomy
分类号 R322.833 [医药卫生—人体解剖和组织胚胎学]
  • 相关文献

参考文献12

  • 1Pemeezky A等著,孙为群等译.神经外科锁孔手术-内镜协助的显微外科及典型病例[M].济南:山东科学技术出版社,2001.20.
  • 2Vanlindert EV, Perneczky A, Fries G, et al. The supraorbital keyhole approach to supratentorial aneurysms: Concept and technique[J]. Surg Neurol, 1998, 49:481.
  • 3Czirjak S, Szeifert GT. Surgical experience with frontolateral keyhole craniotomy through a superciliary skin incision[J]. Neurosurgery, 2001, 48:145.
  • 4李监松,骆成,吴再进,孙庆,徐光斌,经大平,涂祝新,许勇,侯树穹,吴永,彭磊,伍葵.经眶上缘外侧锁孔入路鞍区的内镜解剖学观察[J].解剖与临床,2008,13(6):397-400. 被引量：1
  • 5韩占强,刘恩重,周岱,张世明,蔺友志,安沂华,乔磊.额骨颧突后蝶翼“锁孔”入路的内窥镜解剖学研究[J].中华神经外科杂志,2000,16(1):19-23. 被引量：22
  • 6Cohen AR, Perneczky A, Rodziewicz G, et al. Endoscope-assisted craniotomy : Approach to the rostral brain stem [J]. Neurosurgery. 1995, 36:1128.
  • 7Menovsky T, Grotenhuis A, Vries JD, et al. Endoscope-assisted supraorbital craniotomy for leisions of the interpeduncular fossa [J]. Neurosurgery. 1999, 44:106.
  • 8Kinouchi H, Futawatari K, Mizoi K, et al. Endoscope-assisted clipping of a superior hypophyseal artery aneurysm without removal of the anterior elinoid process[ J]. J Neurosurg, 2002, 96:788.
  • 9Matula C,Tschabitscher M, Day JD, et al. Endoscopically assisted microneurosurgery [ J ]. Acta Neurochir( wien ) , 1995,134 : 190.
  • 10Takaishi Y, Yamashita H, Tamaki N, et al. Cadaveric and clinical study of endoscope-assisted microneurosurgery for cerebral aneurysms using angle-type rigid endoscope[J]. Kobe J. Med. Sci, 2002,48:1.

二级参考文献32

  • 1[2]Czirják S,Szeifert GT.Surgical experience with frontolateral keyhole craniotomy through a superciliary skin incision.Neurosurgery,2001,48(1):145～149
  • 2[3]Menovsky T,Grotenhuis JA,de Vries J,et al.Endoscope-assisted supraorbital craniotomy for leisions of the interpeduncular fossa.Neurosurgery,1999,44(1):106～110
  • 3[7]Kinouchi H,Futawatari K,Mizoi K,et al.Endoscope-assisted clipping of a superior hypophyseal artery aneurysm without removal of the anterior clinoid process.case report.J Neurosurg,2002,96(4):788～791
  • 4[8]De Oliveira E,Tedeschi H,Siqueira MG,et al.Anatomical and technical aspects of the contralateral approach for multiple aneurysms.Acta Neurochir(wien),1996,138(1):1～11
  • 5[9]Nishio S,Matsushima T,Fukui M,et al.Microsurgical anatomy around the orgin of the ophthalmic artery with reference to contralateral pterional surgical approach to the carotid-ophthalmic aneurysm.Acta Neurochir(wien),1985,76(3-4):82～89
  • 6[10]Michio O,Makiko O,Rhoton AJ,et al.Microsurgical anatomy of the region of the tentorial incisura.J Neurosurg,1984,60(1):365～399
  • 7[11]Gibo H,Lenkey C,Rhoton AJ.Microsurgical anatomy of the supraclinoid portion of the internal carotid artery.J Neurosurg,1981,55(4):560～574
  • 8[12]Takaishi Y,Yamashita H,Tamaki N.Cadaveric and clinical study of endoscope-assisted microneurosurgery for cerebral aneurysms using angle-type rigid endoscope.Kobe J Med Sci,2002,48(1-2):1～11
  • 9[13]Taniguchi M,Takimoto H,Yoshimine T,et al.Application of a rigid endoscope to the microsurgical management of 54 cerebral aneurysms:results in 48 patients.J Neurosurg,1999,91(2):231～237
  • 10[14]Kalavakonda C,Sekhar LN,Ramachandran P,et al.Endoscope-assisted microsurgery for intracranial aneurysms.Neurosurgery,2002,51(5):1119～1127

共引文献21

临床神经外科杂志
2009年 第4期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部