颅底筋膜结构的解剖学研究进展

Progress on the anatomic research of fascia structure in skull base area

颅底的筋膜结构是颅底区域最为复杂的结构之一,分隔出了众多的筋膜间隙,其有助于术者在传统的开放式入路手术中对自外侧向中线方向的颅底解剖层次的理解。同时,在颅底外科手术中更是起着重要解剖标志的作用。近20年来,颅底外科的技术和理念出现了重大变革,从以往的开放式入路手术发展到如今占据主流的内镜经鼻或经口手术。但颅底筋膜结构的研究依然存在很多争议,其在内镜经鼻或经口手术入路中的应用解剖学认识及其临床应用价值依然处于探索阶段。本文就近20余年来的颅底筋膜结构的解剖学研究进展进行综述。

The fascial structure of the skull base is one of the most complex structures in the skull base region,which separates many fascial spaces.It is helpful for the surgeon to understand the anatomical layers from the lateral to the midline of the skull base in the traditional open approach.It also plays an important role as anatomical landmark in skull base surgery.In the past 20 years,there have been major changes in the techniques and concepts of skull base surgery.And the techniques and concepts of skull base surgery have changed from the previous open approach surgery to the mainstream endoscopic transnasal or transoral surgery.However,there are still many controversies about the structure of the skull base fascia,and its applied anatomy and clinical application value in endoscopic transnasal or transoral surgery are still in the exploratory stage in exploratory stage.The purpose of this paper is to review the anatomical research progress of the skull base fascia structure in recent 20 years.